| Dr Kmiecks Dental Health Service | |
|
7057 W 130 Street Parma Heights OH 44130 | |
| (440) 888-9755 | |
| (440) 888-8763 |
| Full Name | Dr Kmiecks Dental Health Service |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7057 W 130 Street, Parma Heights, Ohio |
| Authorized Official Name and Position | Kenneth T Kmieck (OWNER PRESIDENT) |
| Authorized Official Contact | 4408889755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kmiecks Dental Health Service 7057 W 130 Street Parma Heights OH 44130 Ph: (440) 888-9755 | Dr Kmiecks Dental Health Service 7057 W 130 Street Parma Heights OH 44130 Ph: (440) 888-9755 |
| NPI Number | 1699877597 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699877597 | NPI | - | NPPES |
| 0281770 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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