| River City Dental Group, Inc | |
|
124 3rd St Marietta OH 45750-3108 | |
| (740) 373-1826 | |
| (740) 373-1825 |
| Full Name | River City Dental Group, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 124 3rd St, Marietta, Ohio |
| Authorized Official Name and Position | Timothy C. Tilton (PRESIDENT) |
| Authorized Official Contact | 7403731826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River City Dental Group, Inc 124 3rd St Marietta OH 45750-3108 Ph: (740) 373-1826 | River City Dental Group, Inc 124 3rd St Marietta OH 45750-3108 Ph: (740) 373-1826 |
| NPI Number | 1851515043 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851515043 | NPI | - | NPPES |
| 16905 | Other | OH | OHIO DENTAL LICENSE |
| 18750 | Other | OH | OHIO DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16905 (Ohio) | Primary |
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