| Hyatt Family Dental, Llc | |
|
301 East Avenue Elyria OH 44035 | |
| (440) 323-2523 | |
| (440) 323-2690 |
| Full Name | Hyatt Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 East Avenue, Elyria, Ohio |
| Authorized Official Name and Position | Kevin J. Hyatt (OWNER.) |
| Authorized Official Contact | 4403232523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyatt Family Dental, Llc 301 East Avenue Elyria OH 44035 Ph: (440) 323-2523 | Hyatt Family Dental, Llc 301 East Avenue Elyria OH 44035 Ph: (440) 323-2523 |
| NPI Number | 1922647478 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922647478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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