| Newark Family Dentistry | |
|
136 W Main St Newark OH 43055-5008 | |
| (740) 349-3033 | |
| (740) 349-7675 |
| Full Name | Newark Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 136 W Main St, Newark, Ohio |
| Authorized Official Name and Position | Nicole R Hilleary (OFFICE MANAGER) |
| Authorized Official Contact | 7403493099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newark Family Dentistry 136 W Main St Newark OH 43055-5008 Ph: (740) 349-3033 | Newark Family Dentistry 136 W Main St Newark OH 43055-5008 Ph: (740) 349-3033 |
| NPI Number | 1467671172 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467671172 | NPI | - | NPPES |
| 2373551 | Medicaid | OH | |
| 0710627 | Medicaid | OH | |
| 0713526 | Medicaid | OH | |
| 2237832 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 018862 (Ohio) | Primary |
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