| St. Paul Dental Service | |
|
1459 Superior Ave Ne Canton OH 44705-1964 | |
| (330) 588-4893 | |
| (330) 453-2793 |
| Full Name | St. Paul Dental Service |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1459 Superior Ave Ne, Canton, Ohio |
| Authorized Official Name and Position | Michael C Holt (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 3304891268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Paul Dental Service 1459 Superior Ave Ne Canton OH 44705-1964 Ph: (330) 588-4893 | St. Paul Dental Service 1459 Superior Ave Ne Canton OH 44705-1964 Ph: (330) 588-4893 |
| NPI Number | 1023362100 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023362100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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