| Alpha Dental | |
|
12906 State Route 664 S Suite A7 Logan OH 43138-9260 | |
| (567) 224-8745 | |
| Not Available |
| Full Name | Alpha Dental |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 12906 State Route 664 S, Logan, Ohio |
| Authorized Official Name and Position | Ming Sheng Yu (OWNER) |
| Authorized Official Contact | 5672248754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Dental 12906 State Route 664 S Suite A7 Logan OH 43138-9260 Ph: (567) 224-8745 | Alpha Dental 12906 State Route 664 S Suite A7 Logan OH 43138-9260 Ph: (567) 224-8745 |
| NPI Number | 1265740625 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 11/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265740625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Ohio) | Primary |
W. Daniel Alder Dds Ms Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 S Mulberry St, Logan, OH 43138 Phone: 740-385-8620 Fax: 740-385-3073 |