| Mogadore Family Dentistry | |
|
11 S Cleveland Ave Mogadore OH 44260-1514 | |
| (330) 628-3017 | |
| (330) 628-1436 |
| Full Name | Mogadore Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 11 S Cleveland Ave, Mogadore, Ohio |
| Authorized Official Name and Position | Louis W Konstan (DENTIST) |
| Authorized Official Contact | 3306283017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mogadore Family Dentistry 11 S Cleveland Ave Mogadore OH 44260-1514 Ph: (330) 628-3017 | Mogadore Family Dentistry 11 S Cleveland Ave Mogadore OH 44260-1514 Ph: (330) 628-3017 |
| NPI Number | 1972624922 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972624922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30.018523 (Ohio) | Primary |
Mogadore Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 South Cleveland Ave, Mogadore, OH 44260 Phone: 330-628-2424 Fax: 330-628-3533 |