MEDICARE: WILBETH DENTAL CARE LLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1831046572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILBETH DENTAL CARE LLC

Provider Business Mailing Address
First Line	:	4650 HEATHER HILLS RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44333-1644
Country	:	US
Telephone Number	:	330-703-0926
Fax Number	:

Provider Business Practice Location Address
First Line	:	673 E WILBETH RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44306-3455
Country	:	US
Telephone Number	:	330-724-2551
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN KURZAWA
Credential	:	DDS
Telephone Number	:	740-334-1664

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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