| Dr William Lee Huskey Dds, Village Green Dental Professionals, Llc | |
|
2150 Wapakoneta Ave Sidney OH 45365-1444 | |
| (937) 492-7080 | |
| (937) 492-7046 |
| Full Name | Dr William Lee Huskey Dds, Village Green Dental Professionals, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2150 Wapakoneta Ave, Sidney, Ohio |
| Authorized Official Name and Position | William Lee Huskey (OWNER) |
| Authorized Official Contact | 9374927080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Lee Huskey Dds, Village Green Dental Professionals, Llc 2150 Wapakoneta Ave Sidney OH 45365-1444 Ph: (937) 492-7080 | Dr William Lee Huskey Dds, Village Green Dental Professionals, Llc 2150 Wapakoneta Ave Sidney OH 45365-1444 Ph: (937) 492-7080 |
| NPI Number | 1699989038 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699989038 | NPI | - | NPPES |
| 0781079 | Medicaid | OH | |
| 598741 | Other | DELTA INSURANCE | |
| 219583462026 | Other | CARESOURCE | |
| 341644055-00 | Other | OH | WORKERS COMPENSATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30-18974 (Ohio) | Primary |
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