| Cross Creek Dental Care - Mount Vernon,llc | |
|
214 E Chestnut St Mount Vernon OH 43050-3447 | |
| (740) 725-8000 | |
| Not Available |
| Full Name | Cross Creek Dental Care - Mount Vernon,llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 214 E Chestnut St, Mount Vernon, Ohio |
| Authorized Official Name and Position | James T Leon (OWNER) |
| Authorized Official Contact | 7407258000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Creek Dental Care - Mount Vernon,llc 214 E Chestnut St Mount Vernon OH 43050-3447 Ph: (740) 725-8000 | Cross Creek Dental Care - Mount Vernon,llc 214 E Chestnut St Mount Vernon OH 43050-3447 Ph: (740) 725-8000 |
| NPI Number | 1114262847 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 12/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114262847 | NPI | - | NPPES |
| BL1311531 | Other | OH | X RAY REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18705 (Ohio) | Primary |
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