| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 497 W Main St, Batavia, Ohio |
| Authorized Official Name and Position | William R Fry (BUSINESS MANAGER) |
| Authorized Official Contact | 5137359111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
497 W Main St Batavia OH 45103 Ph: (513) 735-9111 | 497 W Main St Batavia OH 45103 Ph: (513) 735-9111 |
| NPI Number | 1841301918 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841301918 | NPI | - | NPPES |
| 2431158 | Medicaid | OH | |
| 2554267 | Medicaid | OH | |
| 0263610 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30013796 (Ohio) | Primary |
Stephen L. Claybon Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 E Main St, Batavia, OH 45103 Phone: 513-732-0541 Fax: 513-732-0552 | |
Moorehead Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 E Main St Ste 6, Batavia, OH 45103 Phone: 513-732-0541 Fax: 513-732-0552 |