| Children's Smiles Dental Care, Inc. | |
|
2969 Blue Jacket Ct. Lima OH 45806-1464 | |
| (419) 229-3007 | |
| Not Available |
| Full Name | Children's Smiles Dental Care, Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2969 Blue Jacket Ct., Lima, Ohio |
| Authorized Official Name and Position | Tyra L Meyer (PEDIATRIC DENTIST) |
| Authorized Official Contact | 4192293007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Smiles Dental Care, Inc. 2969 Blue Jacket Ct Lima OH 45806-1464 Ph: (419) 229-3007 | Children's Smiles Dental Care, Inc. 2969 Blue Jacket Ct. Lima OH 45806-1464 Ph: (419) 229-3007 |
| NPI Number | 1881867778 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 04/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881867778 | NPI | - | NPPES |
| 2354429 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 30020325 (Ohio) | Primary |
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