| Lehky State Dental Providers, Llc | |
|
2820 W Market St Ste 100 Fairlawn OH 44333-4061 | |
| (330) 864-3331 | |
| Not Available |
| Full Name | Lehky State Dental Providers, Llc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 2820 W Market St Ste 100, Fairlawn, Ohio |
| Authorized Official Name and Position | Tiffany R Creek (DIRECTOR) |
| Authorized Official Contact | 3302249528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lehky State Dental Providers, Llc 2820 W Market St Ste 100 Fairlawn OH 44333-4061 Ph: (330) 864-3331 | Lehky State Dental Providers, Llc 2820 W Market St Ste 100 Fairlawn OH 44333-4061 Ph: (330) 864-3331 |
| NPI Number | 1356066062 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 10/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356066062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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