| James A Devengencie Dds Ms | |
|
25111 Country Club Blvd Ste 201 North Olmsted OH 44070 | |
| (440) 686-3636 | |
| (440) 686-3637 |
| Full Name | James A Devengencie Dds Ms |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 25111 Country Club Blvd, North Olmsted, Ohio |
| Authorized Official Name and Position | James Allen Devengencie (PRESIDENT) |
| Authorized Official Contact | 4406863636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James A Devengencie Dds Ms 25111 Country Club Blvd Ste 201 North Olmsted OH 44070 Ph: (440) 686-3636 | James A Devengencie Dds Ms 25111 Country Club Blvd Ste 201 North Olmsted OH 44070 Ph: (440) 686-3636 |
| NPI Number | 1124121728 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124121728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 30019902 (Ohio) | Primary |
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