| Small Smiles Of Toledo, Llc | |
|
1520 Broadway St Toledo OH 43609-2855 | |
| (419) 255-9000 | |
| Not Available |
| Full Name | Small Smiles Of Toledo, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1520 Broadway St, Toledo, Ohio |
| Authorized Official Name and Position | Trudy Williams (DIRECTOR, LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6157500342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Small Smiles Of Toledo, Llc 201 W 8th St Suite 810 Pueblo CO 81003-3038 Ph: (719) 562-4447 | Small Smiles Of Toledo, Llc 1520 Broadway St Toledo OH 43609-2855 Ph: (419) 255-9000 |
| NPI Number | 1871542019 |
|---|---|
| Provider Enumeration Date | 05/07/2006 |
| Last Update Date | 05/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871542019 | NPI | - | NPPES |
| 06023 | Other | OH | PARAMOUNT ADVANTAGE |
| 2618224 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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