| Southern Ohio Endodontics Clinic, Llc | |
|
31 N Plaza Blvd Chillicothe OH 45601-1759 | |
| (740) 774-6230 | |
| (740) 774-6326 |
| Full Name | Southern Ohio Endodontics Clinic, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 31 N Plaza Blvd, Chillicothe, Ohio |
| Authorized Official Name and Position | Deron Reisman (PRESIDENT) |
| Authorized Official Contact | 7407746230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Ohio Endodontics Clinic, Llc 31 N Plaza Blvd Chillicothe OH 45601-1759 Ph: (740) 774-6230 | Southern Ohio Endodontics Clinic, Llc 31 N Plaza Blvd Chillicothe OH 45601-1759 Ph: (740) 774-6230 |
| NPI Number | 1619091568 |
|---|---|
| Provider Enumeration Date | 03/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619091568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 20157 (Ohio) | Primary |
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