| Premier Family Dental | |
|
1392 High St #210 Wadsworth OH 44281 | |
| (330) 334-7645 | |
| (330) 335-2322 |
| Full Name | Premier Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1392 High St #210, Wadsworth, Ohio |
| Authorized Official Name and Position | Shahir Khalil (PRESIDENT) |
| Authorized Official Contact | 3303347645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Dental 1392 High St #210 Wadsworth OH 44281 Ph: (330) 334-7645 | Premier Family Dental 1392 High St #210 Wadsworth OH 44281 Ph: (330) 334-7645 |
| NPI Number | 1003926890 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003926890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30 021326 (Ohio) | Primary |
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