| Donn R Lidington Dds Inc | |
|
500 E Howard St Willard OH 44890-1685 | |
| (419) 935-8311 | |
| (419) 935-0812 |
| Full Name | Donn R Lidington Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 500 E Howard St, Willard, Ohio |
| Authorized Official Name and Position | Donn R Lidington (PRES.) |
| Authorized Official Contact | 4199358311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donn R Lidington Dds Inc 500 E Howard St Willard OH 44890-1685 Ph: (419) 935-8311 | Donn R Lidington Dds Inc 500 E Howard St Willard OH 44890-1685 Ph: (419) 935-8311 |
| NPI Number | 1942280912 |
|---|---|
| Provider Enumeration Date | 01/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942280912 | NPI | - | NPPES |
| 0230995 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 14257 (Ohio) | Primary |
Ebert & Carmean, D.d.s., Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 E Howard St, Suite C, Willard, OH 44890 Phone: 419-935-2881 Fax: 419-933-0026 |