| Ledgestone Dental - Meclosky Dds Inc | |
|
18 Remick Blvd Springboro OH 45066-9168 | |
| (937) 748-9240 | |
| (937) 748-9626 |
| Full Name | Ledgestone Dental - Meclosky Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18 Remick Blvd, Springboro, Ohio |
| Authorized Official Name and Position | Mark Allan Meclosky (OWNER) |
| Authorized Official Contact | 9377489240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ledgestone Dental - Meclosky Dds Inc 18 Remick Blvd Springboro OH 45066-9168 Ph: (937) 748-9240 | Ledgestone Dental - Meclosky Dds Inc 18 Remick Blvd Springboro OH 45066-9168 Ph: (937) 748-9240 |
| NPI Number | 1760657811 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760657811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30018831 (Ohio) | Primary |
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