| John K Boedigheimer Dds Inc | |
|
1445 N Main Ave Sidney OH 45365-1782 | |
| (937) 492-9983 | |
| (937) 492-8869 |
| Full Name | John K Boedigheimer Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1445 N Main Ave, Sidney, Ohio |
| Authorized Official Name and Position | John Kennedy Boedigheimer (PRESIDENT OF JOHN K BOEDIGHEIMER DD) |
| Authorized Official Contact | 9374929983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John K Boedigheimer Dds Inc 1445 N Main Ave Sidney OH 45365-1782 Ph: (937) 492-9983 | John K Boedigheimer Dds Inc 1445 N Main Ave Sidney OH 45365-1782 Ph: (937) 492-9983 |
| NPI Number | 1508924739 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508924739 | NPI | - | NPPES |
| 0271496 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14422 (Ohio) | Primary |
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