| Buckeye Dental Group Of Bach Lamielle And Stanich Dds Llc | |
|
7265 Portage St Nw Suite A Massillon OH 44646-7826 | |
| (330) 498-9730 | |
| (330) 498-9753 |
| Full Name | Buckeye Dental Group Of Bach Lamielle And Stanich Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7265 Portage St Nw, Massillon, Ohio |
| Authorized Official Name and Position | Angela Marie Lamielle (OFFICE MANAGER) |
| Authorized Official Contact | 3304989730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckeye Dental Group Of Bach Lamielle And Stanich Dds Llc 7265 Portage St Nw Suite A Massillon OH 44646-7826 Ph: (330) 498-9730 | Buckeye Dental Group Of Bach Lamielle And Stanich Dds Llc 7265 Portage St Nw Suite A Massillon OH 44646-7826 Ph: (330) 498-9730 |
| NPI Number | 1992703953 |
|---|---|
| Provider Enumeration Date | 07/13/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992703953 | NPI | - | NPPES |
| 2315140 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Ohio) | Primary |
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