Kidsmile, Inc. - John M. Venzel, D.m.d. | |
37701 Colorado Ave Suite E Avon OH 44011-2840 | |
(440) 934-2600 | |
(440) 934-2602 |
Full Name | Kidsmile, Inc. - John M. Venzel, D.m.d. |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 37701 Colorado Ave, Avon, Ohio |
Authorized Official Name and Position | John Matthew Venzel (MEMBER) |
Authorized Official Contact | 4409342600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kidsmile, Inc. - John M. Venzel, D.m.d. 37701 Colorado Ave Suite E Avon OH 44011-2840 Ph: (440) 934-2600 | Kidsmile, Inc. - John M. Venzel, D.m.d. 37701 Colorado Ave Suite E Avon OH 44011-2840 Ph: (440) 934-2600 |
NPI Number | 1447226998 |
---|---|
Provider Enumeration Date | 02/24/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447226998 | NPI | - | NPPES |
0603716 | Medicaid | OH | |
774120 | Other | OH | UNITED CONCORDIA PROVIDER |
603882 | Other | OH | COMPBENEFITS PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 30.017951 (Ohio) | Primary |
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