| Jon R. Ewig, Dds, Inc. | |
|
3585 Wendleton Ln Beavercreek OH 45432-2753 | |
| (937) 426-8083 | |
| (937) 426-2818 |
| Full Name | Jon R. Ewig, Dds, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3585 Wendleton Ln, Beavercreek, Ohio |
| Authorized Official Name and Position | Jon Robert Ewig (PRESIDENT) |
| Authorized Official Contact | 9374268083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon R. Ewig, Dds, Inc. 3585 Wendleton Ln Beavercreek OH 45432-2753 Ph: (937) 426-8083 | Jon R. Ewig, Dds, Inc. 3585 Wendleton Ln Beavercreek OH 45432-2753 Ph: (937) 426-8083 |
| NPI Number | 1982650560 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982650560 | NPI | - | NPPES |
| 0854928 | Medicaid | OH | |
| 19277 | Other | OH | OHIO LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 19277 (Ohio) | Primary |
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