| Rhodes Dental Llc | |
|
909 Dover Rd Wooster OH 44691 | |
| (330) 264-5522 | |
| (330) 264-5622 |
| Full Name | Rhodes Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 909 Dover Rd, Wooster, Ohio |
| Authorized Official Name and Position | Steven C Rhodes (DENTIST) |
| Authorized Official Contact | 3302645522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhodes Dental Llc 909 Dover Rd Wooster OH 44691 Ph: (330) 264-5522 | Rhodes Dental Llc 909 Dover Rd Wooster OH 44691 Ph: (330) 264-5522 |
| NPI Number | 1588730519 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588730519 | NPI | - | NPPES |
| 2060362 | Medicaid | OH | |
| 2048564 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20695 (Ohio) | Secondary |
| 122300000X | Dentist | 20800 (Ohio) | Primary |
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