| Greenfield Family Dentistry | |
|
1045 Jefferson St Ste A Greenfield OH 45123-8428 | |
| (937) 242-6677 | |
| (937) 203-3994 |
| Full Name | Greenfield Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1045 Jefferson St Ste A, Greenfield, Ohio |
| Authorized Official Name and Position | Jacob Joseph Bissonette (OWNER/OPERATOR) |
| Authorized Official Contact | 9372426677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenfield Family Dentistry 1045 Jefferson St Ste A Greenfield OH 45123-8428 Ph: (937) 242-6677 | Greenfield Family Dentistry 1045 Jefferson St Ste A Greenfield OH 45123-8428 Ph: (937) 242-6677 |
| NPI Number | 1528503786 |
|---|---|
| Provider Enumeration Date | 12/27/2016 |
| Last Update Date | 12/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528503786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30022616 (Ohio) | Primary |
A. Lavar Hall D.d.s., Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 Jefferson St, Greenfield, OH 45123 Phone: 937-981-3184 |