| Kori & Everhartadvanced Dentistry, Scott M. Everhart Dds, Llc | |
|
401 Miamisburg Centerville Rd Centerville OH 45459-4753 | |
| (937) 435-5073 | |
| (937) 435-5215 |
| Full Name | Kori & Everhartadvanced Dentistry, Scott M. Everhart Dds, Llc |
|---|---|
| Speciality | Dentist |
| Location | 401 Miamisburg Centerville Rd, Centerville, Ohio |
| Authorized Official Name and Position | Scott M. Everhart (PRESIDENT) |
| Authorized Official Contact | 6145796134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kori & Everhartadvanced Dentistry, Scott M. Everhart Dds, Llc 401 Miamisburg Centerville Rd Centerville OH 45459-4753 Ph: (937) 435-5073 | Kori & Everhartadvanced Dentistry, Scott M. Everhart Dds, Llc 401 Miamisburg Centerville Rd Centerville OH 45459-4753 Ph: (937) 435-5073 |
| NPI Number | 1366748410 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 12/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366748410 | NPI | - | NPPES |
| 2205161 | Medicaid | OH | |
| 2371866 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 20908 (Ohio) | Primary |
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