| Dr Jack Grodner, DDS | |
|
413 E Home Rd, Springfield, OH 45503-2708 | |
| (937) 390-3077 | |
| Not Available |
| Full Name | Dr Jack Grodner |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 413 E Home Rd, Springfield, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932115011 | NPI | - | NPPES |
| 107461 | Other | OH | DORAL LOCATOR NUMBER |
| 310916628026 | Other | OH | CARESOURCE-MEDICAID |
| 0341446 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15077 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Grodner, DDS 413 E Home Rd, Springfield, OH 45503-2708 Ph: (937) 390-3077 | Dr Jack Grodner, DDS 413 E Home Rd, Springfield, OH 45503-2708 Ph: (937) 390-3077 |
Dr. Dale R Hazelbaker, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 725 N Limestone St, Springfield, OH 45503 Phone: 937-325-7031 Fax: 937-322-7339 | |
Dr. Ronnie Lee Anderson, DDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2220 Olympic St, Springfield, OH 45503 Phone: 937-390-6616 Fax: 937-390-9706 | |
Dr. James A Maxwell Jr., DDS,MS (R) Dentist Medicare: Not Enrolled in Medicare Practice Location: 2210 Olympic St, Springfield, OH 45503 Phone: 937-399-4476 Fax: 937-399-9623 | |
Dr. Blaine Joseph Kincaid, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1240 E Main St, Springfield, OH 45503 Phone: 937-323-3400 | |
Dr. Richard Waldren, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 918 Forest Edge Ave, Springfield, OH 45503 Phone: 937-399-6424 | |
Dr. Daniel R Collins Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1919 E High St, Springfield, OH 45505 Phone: 937-324-0378 | |
Dr. Peter William Veremis, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 923 N Limestone St, Springfield, OH 45503 Phone: 937-323-7227 Fax: 932-325-4895 |