Ohio Valley Dental | |
67800 Mall Ring Road C/o Sears St. Clairsville OH 43950 | |
(740) 695-5535 | |
(740) 695-5958 |
Full Name | Ohio Valley Dental |
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Speciality | Dentist |
Location | 67800 Mall Ring Road, St. Clairsville, Ohio |
Authorized Official Name and Position | Adrienne Rochelle Miner (OWNER) |
Authorized Official Contact | 7406955535 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ohio Valley Dental 67800 Mall Ring Road C/o Sears St. Clairsville OH 43950 Ph: (740) 695-5535 | Ohio Valley Dental 67800 Mall Ring Road C/o Sears St. Clairsville OH 43950 Ph: (740) 695-5535 |
NPI Number | 1053561191 |
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Provider Enumeration Date | 09/25/2008 |
Last Update Date | 09/25/2008 |
Identifier | Type | State | Issuer |
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1053561191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 18079 (Ohio) | Primary |