| Foundation Dental, Inc. | |
|
309 S Chapel St Louisville OH 44641-1612 | |
| (330) 875-2200 | |
| (330) 875-2403 |
| Full Name | Foundation Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 309 S Chapel St, Louisville, Ohio |
| Authorized Official Name and Position | Steven Frederick Peters (OWNER) |
| Authorized Official Contact | 3308752200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Dental, Inc. 309 S Chapel St Louisville OH 44641-1612 Ph: (330) 875-2200 | Foundation Dental, Inc. 309 S Chapel St Louisville OH 44641-1612 Ph: (330) 875-2200 |
| NPI Number | 1376799098 |
|---|---|
| Provider Enumeration Date | 08/13/2008 |
| Last Update Date | 10/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376799098 | NPI | - | NPPES |
| 2843712 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 020417 (Pennsylvania) | Primary |
Louisville Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1338 N Chapel St, Suite 3, Louisville, OH 44641 Phone: 330-875-2222 Fax: 330-232-9595 | |
Frankel Dentistry Lousiville, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 S Chapel St, Louisville, OH 44641 Phone: 330-875-2200 |