Vienna Dental Center | |
4400 Warren Sharon Rd Vienna OH 44473-8616 | |
(330) 394-1672 | |
(330) 394-1376 |
Full Name | Vienna Dental Center |
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Speciality | Dentist - General Practice |
Location | 4400 Warren Sharon Rd, Vienna, Ohio |
Authorized Official Name and Position | Bart L James (OWNER) |
Authorized Official Contact | 3303941672 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vienna Dental Center Po Box 458 Vienna OH 44473-0458 Ph: (330) 394-1672 | Vienna Dental Center 4400 Warren Sharon Rd Vienna OH 44473-8616 Ph: (330) 394-1672 |
NPI Number | 1124390356 |
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Provider Enumeration Date | 02/03/2012 |
Last Update Date | 02/03/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124390356 | NPI | - | NPPES |
2605327 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 30.21956 (Ohio) | Primary |