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General NPI Number Information
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NPI Number | 1952527376
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Entity Type | Organization
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Legal Business Name | DENTAL CENTEROF NORTHWEST OHIO
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1800 N BLANCHARD ST SUITE 122
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City | FINDLAY
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State | OH
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Zip | 45840-4507
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Country | US
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Telephone | 419-422-7664
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Fax |
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Provider Business Mailing Address
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Address Line | 2138 MADISON AVE.
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City | TOLEDO
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State | OH
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Zip | 43604
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MELINDA CREE
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Credential |
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Telephone | 419-241-1644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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