| Louisville Dental Clinic | |
|
1338 N Chapel St Suite 3 Louisville OH 44641-2407 | |
| (330) 875-2222 | |
| (330) 232-9595 |
| Full Name | Louisville Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 1338 N Chapel St, Louisville, Ohio |
| Authorized Official Name and Position | Andrew Bidde (PRESIDENT) |
| Authorized Official Contact | 3308752222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisville Dental Clinic 1338 N Chapel St Suite 3 Louisville OH 44641-2407 Ph: (330) 875-2222 | Louisville Dental Clinic 1338 N Chapel St Suite 3 Louisville OH 44641-2407 Ph: (330) 875-2222 |
| NPI Number | 1831595917 |
|---|---|
| Provider Enumeration Date | 11/17/2014 |
| Last Update Date | 11/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831595917 | NPI | - | NPPES |
| 0074285 | Medicaid | OH | |
| 2037076 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Foundation Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 S Chapel St, Louisville, OH 44641 Phone: 330-875-2200 Fax: 330-875-2403 | |
Frankel Dentistry Lousiville, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 S Chapel St, Louisville, OH 44641 Phone: 330-875-2200 |