| Liberty Dental Care & Dentures | |
|
7100 Sennet Pl Suite E Liberty Townshp OH 45069-1794 | |
| (917) 815-6369 | |
| Not Available |
| Full Name | Liberty Dental Care & Dentures |
|---|---|
| Speciality | Dentist |
| Location | 7100 Sennet Pl, Liberty Townshp, Ohio |
| Authorized Official Name and Position | Khalid Rashid Chaudry (DENTIST/OWNER) |
| Authorized Official Contact | 9178156369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Dental Care & Dentures 7100 Sennet Place Suite E Liberty Township OH 45069 Ph: (917) 815-6369 | Liberty Dental Care & Dentures 7100 Sennet Pl Suite E Liberty Townshp OH 45069-1794 Ph: (917) 815-6369 |
| NPI Number | 1871044347 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 10/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871044347 | NPI | - | NPPES |
| 310994808057 | Other | OH | CARE SOURCE |
| 2525959 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30-022036 (Ohio) | Primary |
Prime Dentistry & Implants Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Prime Dentistry & Implants, 5307 Hildenbrand Way, Liberty Townshp, OH 45011 Phone: 513-759-7635 Fax: 513-755-2039 |