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NPI Code Detail

MEDICARE: EMMA CLAIRE KENNEDY SANTINI DMD

MEDICARE: EMMA CLAIRE KENNEDY SANTINI DMD
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
1122300000XDentist30.027208OH

General Provider Information

NPI Number : 1255023750
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA CLAIRE KENNEDY SANTINI DMD
Provider Business Mailing Address
First Line : 1063 N CANNON CREEK DR
Second Line :
City : PERRYSBURG
State : OH
Zip : 43551-6301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 875 WESTMORELAND AVE
Second Line :
City : NAPOLEON
State : OH
Zip : 43545-1260
Country : US
Telephone Number : 877-216-9296
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2023
Last Update Date : 05/23/2023

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