| Ollom Community Dental, Llc | |
|
1702 Allentown Rd Lima OH 45805-1845 | |
| (419) 222-0693 | |
| Not Available |
| Full Name | Ollom Community Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1702 Allentown Rd, Lima, Ohio |
| Authorized Official Name and Position | Jane Ann Campbell (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4192284036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ollom Community Dental, Llc 1702 Allentown Rd Lima OH 45805-1845 Ph: (419) 222-0693 | Ollom Community Dental, Llc 1702 Allentown Rd Lima OH 45805-1845 Ph: (419) 222-0693 |
| NPI Number | 1871067504 |
|---|---|
| Provider Enumeration Date | 01/16/2019 |
| Last Update Date | 11/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871067504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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