| Drs. Heringhaus General Denitistry | |
|
480 Glessner Ave Mansfield OH 44903-2056 | |
| (419) 524-7409 | |
| Not Available |
| Full Name | Drs. Heringhaus General Denitistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 480 Glessner Ave, Mansfield, Ohio |
| Authorized Official Name and Position | Teresa L. Ingebrand (OFFICE MANAGER) |
| Authorized Official Contact | 4195247409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Heringhaus General Denitistry 480 Glessner Ave Mansfield OH 44903-2056 Ph: (419) 524-7409 | Drs. Heringhaus General Denitistry 480 Glessner Ave Mansfield OH 44903-2056 Ph: (419) 524-7409 |
| NPI Number | 1568556595 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568556595 | NPI | - | NPPES |
| 3870413 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 18512 (Ohio) | Primary |
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