| Midwest Ohio Dental Care | |
|
425 W Russell Rd Sidney OH 45365-1454 | |
| (937) 492-2848 | |
| (937) 492-8615 |
| Full Name | Midwest Ohio Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 425 W Russell Rd, Sidney, Ohio |
| Authorized Official Name and Position | Charles J Edelen (PRESIDENT) |
| Authorized Official Contact | 9374922848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Ohio Dental Care 425 W Russell Rd Sidney OH 45365-1454 Ph: (937) 492-2848 | Midwest Ohio Dental Care 425 W Russell Rd Sidney OH 45365-1454 Ph: (937) 492-2848 |
| NPI Number | 1770757478 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 03/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770757478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30.017977 (Ohio) | Primary |
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Changing Smiles Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 2nd Ave, Sidney, OH 45365 Phone: 937-492-1790 Fax: 937-492-2167 |