MEDICARE: DR. MEGAN PYCRAFT DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	30.026882	OH

General Provider Information

NPI Number	:	1013649474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN PYCRAFT DDS

Provider Business Mailing Address
First Line	:	909 DOVER RD
Second Line	:
City	:	WOOSTER
State	:	OH
Zip	:	44691-4105
Country	:	US
Telephone Number	:	330-264-5522
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 DOVER RD
Second Line	:
City	:	WOOSTER
State	:	OH
Zip	:	44691-4105
Country	:	US
Telephone Number	:	330-264-5522
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2022
Last Update Date	:	06/04/2025

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