Hctc Dental Clinic | |
8001 Township Road 574 Holmesville OH 44633-9751 | |
(330) 674-8045 | |
(330) 674-5182 |
Full Name | Hctc Dental Clinic |
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Speciality | Dentist - Dental Public Health |
Location | 8001 Township Road 574, Holmesville, Ohio |
Authorized Official Name and Position | F. Scott Brace (SUPERINTENDENT) |
Authorized Official Contact | 3306748045 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hctc Dental Clinic 8001 Township Road 574 Holmesville OH 44633-9751 Ph: (330) 674-8045 | Hctc Dental Clinic 8001 Township Road 574 Holmesville OH 44633-9751 Ph: (330) 674-8045 |
NPI Number | 1417018003 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417018003 | NPI | - | NPPES |
2280679 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |