| Mansfield Endodontics, Ltd. | |
|
1245 S Trimble Rd Mansfield OH 44907-2229 | |
| (419) 756-2880 | |
| (419) 775-8820 |
| Full Name | Mansfield Endodontics, Ltd. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1245 S Trimble Rd, Mansfield, Ohio |
| Authorized Official Name and Position | Russell Kiser (OWNER) |
| Authorized Official Contact | 4197562880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansfield Endodontics, Ltd. 1245 S Trimble Rd Mansfield OH 44907-2229 Ph: (419) 756-2880 | Mansfield Endodontics, Ltd. 1245 S Trimble Rd Mansfield OH 44907-2229 Ph: (419) 756-2880 |
| NPI Number | 1194746107 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194746107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 21063 (Ohio) | Primary |
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