G Scott Louderback Dds Llc | |
631 S Wheeling St Oregon OH 43616-2742 | |
(419) 693-1234 | |
Not Available |
Full Name | G Scott Louderback Dds Llc |
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Speciality | Dentist |
Location | 631 S Wheeling St, Oregon, Ohio |
Authorized Official Name and Position | Gary S Louderback (OWNER) |
Authorized Official Contact | 4196931234 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
G Scott Louderback Dds Llc 631 S Wheeling St Oregon OH 43616-2742 Ph: (419) 693-1234 | G Scott Louderback Dds Llc 631 S Wheeling St Oregon OH 43616-2742 Ph: (419) 693-1234 |
NPI Number | 1285909184 |
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Provider Enumeration Date | 03/12/2012 |
Last Update Date | 03/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285909184 | NPI | - | NPPES |
1316100167 | Other | OH | INDIVIDUAL NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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