| Painesville Dental Group | |
|
128 Mentor Ave Painesville OH 44077 | |
| (440) 354-2183 | |
| (440) 354-0811 |
| Full Name | Painesville Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 128 Mentor Ave, Painesville, Ohio |
| Authorized Official Name and Position | Jerry V Patriarca (OFFICER/MEMBER DDS) |
| Authorized Official Contact | 4403542183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Painesville Dental Group 301 Center St. Suite 5 Chardon OH 44024 Ph: (440) 286-2474 | Painesville Dental Group 128 Mentor Ave Painesville OH 44077 Ph: (440) 354-2183 |
| NPI Number | 1033296553 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 11/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033296553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dr William R Koenig Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Mentor Ave, #12, Painesville, OH 44077 Phone: 440-352-3223 |