| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 897 E Iron Ave, Dover, Ohio |
| Authorized Official Name and Position | Katie Seward (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3303435555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 80690 Canton OH 44708-0690 Ph: (330) 479-8705 | 897 E Iron Ave Dover OH 44622-2030 Ph: (330) 343-5555 |
| NPI Number | 1003205378 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 02/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003205378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Wakefield Dental Of Dover Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Monroe St, Dover, OH 44622 Phone: 330-343-2322 |