| Defiance Dental Group | |
|
245 Stadium Dr Defiance OH 43512-4604 | |
| (419) 782-7950 | |
| (419) 782-8880 |
| Full Name | Defiance Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 245 Stadium Dr, Defiance, Ohio |
| Authorized Official Name and Position | Brandi Eberle (OFFICE MANAGER) |
| Authorized Official Contact | 4197827950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Defiance Dental Group 245 Stadium Dr Defiance OH 43512-4604 Ph: (419) 782-7950 | Defiance Dental Group 245 Stadium Dr Defiance OH 43512-4604 Ph: (419) 782-7950 |
| NPI Number | 1962647180 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962647180 | NPI | - | NPPES |
| 0415250 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30013385 (Ohio) | Primary |
Burke & Burke Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 5th St, Defiance, OH 43512 Phone: 419-782-7746 | |
Jason J. Juarez, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 E 2nd St, Defiance, OH 43512 Phone: 419-782-1126 Fax: 419-782-8790 | |
Whittaker Dental Care Defiance Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Stadium Dr Ste A, Defiance, OH 43512 Phone: 419-784-0775 |