| Td Dental Llc | |
|
2627 Broadway Ave Sidney OH 45365-1507 | |
| (937) 284-4728 | |
| Not Available |
| Full Name | Td Dental Llc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 2627 Broadway Ave, Sidney, Ohio |
| Authorized Official Name and Position | Peter Heisler (MANAGER) |
| Authorized Official Contact | 7246365600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Td Dental Llc Po Box 147 Bairdford PA 15006-0147 Ph: (724) 636-5600 | Td Dental Llc 2627 Broadway Ave Sidney OH 45365-1507 Ph: (937) 284-4728 |
| NPI Number | 1932964400 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932964400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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