| Sandy Valley Dental Care | |
|
5371 State Route 183 Ne Magnolia OH 44643 | |
| (330) 866-5555 | |
| (330) 866-1800 |
| Full Name | Sandy Valley Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 5371 State Route 183 Ne, Magnolia, Ohio |
| Authorized Official Name and Position | Joseph C Wigfield (DENTIST) |
| Authorized Official Contact | 3308665555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Valley Dental Care 5371 State Route 183 N.e. Magnolia OH 44643 Ph: (330) 866-5555 | Sandy Valley Dental Care 5371 State Route 183 Ne Magnolia OH 44643 Ph: (330) 866-5555 |
| NPI Number | 1992954382 |
|---|---|
| Provider Enumeration Date | 09/10/2008 |
| Last Update Date | 09/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992954382 | NPI | - | NPPES |
| 2755808 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30021486 (Ohio) | Primary |