| Premier Dental Of Sunbury | |
|
169 Oh-3 Sunbury OH 43074 | |
| (614) 450-0025 | |
| Not Available |
| Full Name | Premier Dental Of Sunbury |
|---|---|
| Speciality | Dentist |
| Location | 169 Oh-3, Sunbury, Ohio |
| Authorized Official Name and Position | Douglas Hudoba (OWNER/DENTIST) |
| Authorized Official Contact | 6144500025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Of Sunbury 4883 Elks Dr Columbus OH 43214-1709 Ph: (614) 450-0025 | Premier Dental Of Sunbury 169 Oh-3 Sunbury OH 43074 Ph: (614) 450-0025 |
| NPI Number | 1194175240 |
|---|---|
| Provider Enumeration Date | 06/20/2016 |
| Last Update Date | 06/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194175240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30.024450 (Ohio) | Primary |
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