| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 129 W 2nd St, Dover, Ohio |
| Authorized Official Name and Position | Ciara Harshey (RECEPTION) |
| Authorized Official Contact | 3303438132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
129 W 2nd St Dover OH 44622-2931 Ph: (330) 343-8132 | 129 W 2nd St Dover OH 44622-2931 Ph: (330) 343-8132 |
| NPI Number | 1336620251 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336620251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30.020688 (Ohio) | Primary |
Wakefield Dental Of Dover Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Monroe St, Dover, OH 44622 Phone: 330-343-2322 |