| Shine Orthodontics | |
|
1120 Western Ave Chillicothe OH 45601-1174 | |
| (740) 773-0072 | |
| Not Available |
| Full Name | Shine Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1120 Western Ave, Chillicothe, Ohio |
| Authorized Official Name and Position | Benjamin Mcarthur (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5136331661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Orthodontics 1120 Western Ave Chillicothe OH 45601-1174 Ph: (740) 773-0072 | Shine Orthodontics 1120 Western Ave Chillicothe OH 45601-1174 Ph: (740) 773-0072 |
| NPI Number | 1336603653 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 01/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336603653 | NPI | - | NPPES |
| 1548404575 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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