| Hometown Dds | |
|
221 E Home Rd Springfield OH 45503-2666 | |
| (937) 399-4470 | |
| Not Available |
| Full Name | Hometown Dds |
|---|---|
| Speciality | Dentist |
| Location | 221 E Home Rd, Springfield, Ohio |
| Authorized Official Name and Position | Tanisha Moore (PRESIDENT) |
| Authorized Official Contact | 9373994470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Dds 221 E Home Rd Springfield OH 45503-2666 Ph: (937) 399-4470 | Hometown Dds 221 E Home Rd Springfield OH 45503-2666 Ph: (937) 399-4470 |
| NPI Number | 1467983205 |
|---|---|
| Provider Enumeration Date | 03/23/2017 |
| Last Update Date | 03/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467983205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30-023622 (Ohio) | Primary |
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