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NPI Code Detail

MEDICARE: DENTAL EXCELLENCE GROUP

MEDICARE: DENTAL EXCELLENCE GROUP
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
11223P0221XPediatric Dentistry

General Provider Information

NPI Number : 1679321343
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTAL EXCELLENCE GROUP
Provider Business Mailing Address
First Line : 875 WESTMORELAND AVE
Second Line :
City : NAPOLEON
State : OH
Zip : 43545-1260
Country : US
Telephone Number : 877-478-0988
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 : 877-478-0988
Fax Number :
Authorized Official
Title or Position : CEO/ CLINICAL DIRECTOR
Name : DR. MICHAEL DEAN CARPENTER
Credential : DDS
Telephone Number : 419-466-1259
Provider Enumeration Date : 05/08/2024
Last Update Date : 05/08/2024

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Directions to “DENTAL EXCELLENCE GROUP ” Practice Location

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