Family Dental Team, Inc. | |
620 Ridgewood Xing Suite K Fairlawn OH 44333-3531 | |
(330) 376-9424 | |
(330) 376-2298 |
Full Name | Family Dental Team, Inc. |
---|---|
Speciality | Dentist - General Practice |
Location | 620 Ridgewood Xing, Fairlawn, Ohio |
Authorized Official Name and Position | James D George (PRESIDENT/OWNER) |
Authorized Official Contact | 3303769424 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Dental Team, Inc. 620 Ridgewood Xing Suite K Fairlawn OH 44333-3531 Ph: (330) 376-9424 | Family Dental Team, Inc. 620 Ridgewood Xing Suite K Fairlawn OH 44333-3531 Ph: (330) 376-9424 |
NPI Number | 1205008828 |
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Provider Enumeration Date | 03/25/2008 |
Last Update Date | 08/13/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205008828 | NPI | - | NPPES |
2531148 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 30-012228 (Ohio) | Primary |
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