Full Name | Burns Dental, Inc. |
---|---|
Speciality | Dentist - General Practice |
Location | 459 S Main St, Lima, Ohio |
Authorized Official Name and Position | Alyson K Amerson (OWNER/DOCTOR) |
Authorized Official Contact | 4192285502 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Burns Dental, Inc. 459 S Main St Lima OH 45804-1255 Ph: (419) 228-5502 | Burns Dental, Inc. 459 S Main St Lima OH 45804-1255 Ph: (419) 228-5502 |
NPI Number | 1124312988 |
---|---|
Provider Enumeration Date | 06/08/2011 |
Last Update Date | 06/08/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124312988 | NPI | - | NPPES |
2551377 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 30021934 (Ohio) | Primary |
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