| Testerman & Testerman Dental Partnership | |
|
767 Columbus Avenue Lebanon OH 45036 | |
| (513) 932-4806 | |
| (513) 932-4274 |
| Full Name | Testerman & Testerman Dental Partnership |
|---|---|
| Speciality | Dentist |
| Location | 767 Columbus Avenue, Lebanon, Ohio |
| Authorized Official Name and Position | Gregg L Testerman (PRESIDENT) |
| Authorized Official Contact | 5139324806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Testerman & Testerman Dental Partnership 767 Columbus Avenue Lebanon OH 45036 Ph: (513) 932-4806 | Testerman & Testerman Dental Partnership 767 Columbus Avenue Lebanon OH 45036 Ph: (513) 932-4806 |
| NPI Number | 1407964927 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 09/30/2014 |
| Medicare PECOS PAC ID | 2860612827 |
|---|---|
| Medicare Enrollment ID | O20160112002781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407964927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15220 (Ohio) | Secondary |
| 122300000X | Dentist | 21774 (Ohio) | Primary |
| Provider Name | Craig Testerman |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477769016 PECOS PAC ID: 6608021183 Enrollment ID: I20160113000541 |
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