| Fort Loramie Dental Center | |
|
20 S. Main St. Fort Loramie OH 45845-0318 | |
| (937) 295-3400 | |
| (937) 295-3370 |
| Full Name | Fort Loramie Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20 S. Main St., Fort Loramie, Ohio |
| Authorized Official Name and Position | Christopher Michael Ashby (OWNER) |
| Authorized Official Contact | 9372953400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Loramie Dental Center Po Box 318 20 S. Main St. Fort Loramie OH 45845-0318 Ph: (937) 295-3400 | Fort Loramie Dental Center 20 S. Main St. Fort Loramie OH 45845-0318 Ph: (937) 295-3400 |
| NPI Number | 1114311610 |
|---|---|
| Provider Enumeration Date | 03/23/2015 |
| Last Update Date | 03/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114311610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30-020940 (Ohio) | Primary |