| Mogadore Dental Group | |
|
60 South Cleveland Ave Mogadore OH 44260-1442 | |
| (330) 628-2424 | |
| (330) 628-3533 |
| Full Name | Mogadore Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 60 South Cleveland Ave, Mogadore, Ohio |
| Authorized Official Name and Position | Dennis James Nolan (OWNER PARTNER) |
| Authorized Official Contact | 3306282424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mogadore Dental Group 60 South Cleveland Ave Mogadore OH 44260-1442 Ph: (330) 628-2424 | Mogadore Dental Group 60 South Cleveland Ave Mogadore OH 44260-1442 Ph: (330) 628-2424 |
| NPI Number | 1356437214 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356437214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30016592 (Ohio) | Primary |
| 122300000X | Dentist | 30016997 (Ohio) | Secondary |
Mogadore Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 S Cleveland Ave, Mogadore, OH 44260 Phone: 330-628-3017 Fax: 330-628-1436 |