| Playtime Dental | |
|
1145 Aspira Ct Mansfield OH 44906-4125 | |
| (419) 774-7529 | |
| (419) 774-7529 |
| Full Name | Playtime Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1145 Aspira Ct, Mansfield, Ohio |
| Authorized Official Name and Position | Jackson Cockley (DENTIST/PRESIDENT) |
| Authorized Official Contact | 4197747529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Playtime Dental 1145 Aspira Ct Mansfield OH 44906-4125 Ph: (419) 774-7529 | Playtime Dental 1145 Aspira Ct Mansfield OH 44906-4125 Ph: (419) 774-7529 |
| NPI Number | 1811206675 |
|---|---|
| Provider Enumeration Date | 09/28/2010 |
| Last Update Date | 12/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811206675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 30021945 (Ohio) | Primary |
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