| Dentistry For Children Of Ohio 2 Randy Hamilton Dmd Llc | |
|
21590 Center Ridge Rd Rocky River OH 44116-3945 | |
| (770) 692-1000 | |
| Not Available |
| Full Name | Dentistry For Children Of Ohio 2 Randy Hamilton Dmd Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 21590 Center Ridge Rd, Rocky River, Ohio |
| Authorized Official Name and Position | Joann Rice (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6093153851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children Of Ohio 2 Randy Hamilton Dmd Llc 2970 Brandywine Rd Ste 200 Atlanta GA 30341-5549 Ph: (770) 692-1000 | Dentistry For Children Of Ohio 2 Randy Hamilton Dmd Llc 21590 Center Ridge Rd Rocky River OH 44116-3945 Ph: (770) 692-1000 |
| NPI Number | 1659086049 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 06/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659086049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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