| Alliance Dental Clinic Llc | |
|
2047 S Rockhill Ave Alliance OH 44601-4708 | |
| (330) 821-3732 | |
| (330) 821-3735 |
| Full Name | Alliance Dental Clinic Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2047 S Rockhill Ave, Alliance, Ohio |
| Authorized Official Name and Position | Brittany Kay Dellagatta (OFFICE) |
| Authorized Official Contact | 3302067731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Dental Clinic Llc 2047 S Rockhill Ave Alliance OH 44601-4708 Ph: (330) 821-3732 | Alliance Dental Clinic Llc 2047 S Rockhill Ave Alliance OH 44601-4708 Ph: (330) 821-3732 |
| NPI Number | 1942536461 |
|---|---|
| Provider Enumeration Date | 10/19/2009 |
| Last Update Date | 10/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942536461 | NPI | - | NPPES |
| 0329577 | Medicaid | OH | |
| 0231001 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30020279 (Ohio) | Secondary |
| 1223G0001X | Dentist - General Practice | 30020359 (Ohio) | Primary |
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