| Team Dds New Carlisle Dental Center Llc | |
|
203 E Lake Ave New Carlisle OH 45344-1420 | |
| (937) 580-8558 | |
| (937) 845-5973 |
| Full Name | Team Dds New Carlisle Dental Center Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 203 E Lake Ave, New Carlisle, Ohio |
| Authorized Official Name and Position | Emily A Leavell (OPERATING PARTNER) |
| Authorized Official Contact | 9375808558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Dds New Carlisle Dental Center Llc 203 E Lake Ave New Carlisle OH 45344-1420 Ph: (937) 580-8558 | Team Dds New Carlisle Dental Center Llc 203 E Lake Ave New Carlisle OH 45344-1420 Ph: (937) 580-8558 |
| NPI Number | 1841994647 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 03/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841994647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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