| Dr William R Koenig | |
|
1701 Mentor Ave #12 Painesville OH 44077 | |
| (440) 352-3223 | |
| Not Available |
| Full Name | Dr William R Koenig |
|---|---|
| Speciality | Dentist |
| Location | 1701 Mentor Ave, Painesville, Ohio |
| Authorized Official Name and Position | William R Koenig (PRESIDENT) |
| Authorized Official Contact | 4403523223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William R Koenig 1701 Mentor Ave #12 Painesville OH 44077 Ph: (440) 352-3223 | Dr William R Koenig 1701 Mentor Ave #12 Painesville OH 44077 Ph: (440) 352-3223 |
| NPI Number | 1568560415 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568560415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30013907 (Ohio) | Primary |
Painesville Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Mentor Ave, Painesville, OH 44077 Phone: 440-354-2183 Fax: 440-354-0811 |