Soraya Gomez, DMD | |
106 N Main St, New Carlisle, OH 45344-1835 | |
(937) 667-1122 | |
(419) 225-8878 |
Full Name | Soraya Gomez |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 106 N Main St, New Carlisle, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427004456 | NPI | - | NPPES |
2703882 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 30021890 (Ohio) | Primary |
Entity Name | Health Partners Of Western Ohio |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760952741 PECOS PAC ID: 9436139987 Enrollment ID: O20150313002043 |
Mailing Address | Practice Location Address |
---|---|
Soraya Gomez, DMD 329 N West St, Lima, OH 45801-4332 Ph: (419) 221-3072 | Soraya Gomez, DMD 106 N Main St, New Carlisle, OH 45344-1835 Ph: (937) 667-1122 |
Dr. Lance A Rose, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 103 S Church St, New Carlisle, OH 45344 Phone: 937-845-0038 | |
Dr. Dana M Nichols, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 203 E Lake Ave, New Carlisle, OH 45344 Phone: 937-845-9422 | |
Michael Carl Mueller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 203 E Lake Ave, New Carlisle, OH 45344 Phone: 937-845-1031 Fax: 937-845-4090 | |
Dr. Fredric A Blonstein, DDS Dentist Medicare: Medicare Enrolled Practice Location: 103 S Church St, New Carlisle, OH 45344 Phone: 937-845-0038 Fax: 937-845-8724 | |
Dr. Lytha K Miller, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 203 E Lake Ave, New Carlisle, OH 45344 Phone: 937-580-8558 Fax: 937-773-8253 | |
Dr. Robert S. Kellar, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 103 S Church Street, New Carlisle, OH 45344 Phone: 937-845-0038 Fax: 937-845-8724 |