Garrettsville Dental Group | |
8143 Windham St Garrettsville OH 44231-1112 | |
(330) 527-4313 | |
(330) 527-4314 |
Full Name | Garrettsville Dental Group |
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Speciality | Clinic/center - Dental |
Location | 8143 Windham St, Garrettsville, Ohio |
Authorized Official Name and Position | Andrew Stephen Holpuch (OFFICER) |
Authorized Official Contact | 3305274313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Garrettsville Dental Group 8143 Windham St Garrettsville OH 44231-1112 Ph: (330) 527-4313 | Garrettsville Dental Group 8143 Windham St Garrettsville OH 44231-1112 Ph: (330) 527-4313 |
NPI Number | 1619348653 |
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Provider Enumeration Date | 10/16/2015 |
Last Update Date | 10/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619348653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 30-024225 (Ohio) | Primary |
Dr. Thomas J. Pesarchick Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8307 Windham St, Garrettsville, OH 44231 Phone: 330-527-3368 Fax: 330-527-3369 | |
Wagner Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10699 Freedom St, Garrettsville, OH 44231 Phone: 330-527-4313 |