| Madison Dental | |
|
6248 N Ridge Rd Madison OH 44057-2567 | |
| (440) 428-1011 | |
| Not Available |
| Full Name | Madison Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6248 N Ridge Rd, Madison, Ohio |
| Authorized Official Name and Position | Yazan Karadsheh (OWNER/OPERATOR) |
| Authorized Official Contact | 4404545436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Dental 6248 N Ridge Rd Madison OH 44057-2567 Ph: (440) 428-1011 | Madison Dental 6248 N Ridge Rd Madison OH 44057-2567 Ph: (440) 428-1011 |
| NPI Number | 1982118584 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 03/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982118584 | NPI | - | NPPES |
| 30.024024 | Other | OH | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30.024024 (Ohio) | Primary |
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