| Chillicothe Family Dental | |
|
30 N. Walnut St. Chillicothe OH 45601 | |
| (740) 773-8384 | |
| (740) 773-0292 |
| Full Name | Chillicothe Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 30 N. Walnut St., Chillicothe, Ohio |
| Authorized Official Name and Position | Richard J Schoonmaker (C.E.O.) |
| Authorized Official Contact | 7707738384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chillicothe Family Dental 30 N. Walnut St. Chillicothe OH 45601 Ph: (740) 773-8384 | Chillicothe Family Dental 30 N. Walnut St. Chillicothe OH 45601 Ph: (740) 773-8384 |
| NPI Number | 1407067234 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 10/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407067234 | NPI | - | NPPES |
| 2505211 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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