West Carrollton Family Dental | |
5515 Springboro Pike West Carrollton OH 45449 | |
(937) 294-0468 | |
(937) 294-4266 |
Full Name | West Carrollton Family Dental |
---|---|
Speciality | Dentist |
Location | 5515 Springboro Pike, West Carrollton, Ohio |
Authorized Official Name and Position | Ravinder K Gampa (PRESIDENT) |
Authorized Official Contact | 9372940468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
West Carrollton Family Dental 5515 Springboro Pike West Carrollton OH 45449 Ph: (937) 294-0468 | West Carrollton Family Dental 5515 Springboro Pike West Carrollton OH 45449 Ph: (937) 294-0468 |
NPI Number | 1497938112 |
---|---|
Provider Enumeration Date | 12/17/2007 |
Last Update Date | 07/26/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497938112 | NPI | - | NPPES |
2416353 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 21233 (Ohio) | Primary |