555 W Elm St Dentistry Llc | |
555 W Elm St Lima OH 45801-4757 | |
(419) 229-0776 | |
(419) 229-3828 |
Full Name | 555 W Elm St Dentistry Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 555 W Elm St, Lima, Ohio |
Authorized Official Name and Position | David Wayne Hancock (OWNER) |
Authorized Official Contact | 4192290776 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
555 W Elm St Dentistry Llc 555 W Elm St Lima OH 45801-4757 Ph: (419) 229-0776 | 555 W Elm St Dentistry Llc 555 W Elm St Lima OH 45801-4757 Ph: (419) 229-0776 |
NPI Number | 1043351034 |
---|---|
Provider Enumeration Date | 02/10/2007 |
Last Update Date | 03/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043351034 | NPI | - | NPPES |
2081376 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 30 . 20842 (Ohio) | Primary |
News Archive
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