Oregon Pediatric Dentistry | |
3140 Dustin Rd Oregon OH 43616-4341 | |
(419) 750-6432 | |
(419) 698-3484 |
Full Name | Oregon Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 3140 Dustin Rd, Oregon, Ohio |
Authorized Official Name and Position | Magdalena Evans (SENIOR CREDENTIALING SPECIALIST) |
Authorized Official Contact | 7202727558 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oregon Pediatric Dentistry 3140 Dustin Rd Oregon OH 43616-4341 Ph: (419) 750-6432 | Oregon Pediatric Dentistry 3140 Dustin Rd Oregon OH 43616-4341 Ph: (419) 750-6432 |
NPI Number | 1912697624 |
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Provider Enumeration Date | 05/08/2023 |
Last Update Date | 06/23/2023 |
Identifier | Type | State | Issuer |
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1912697624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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