| Buckeye Denture Clinic | |
|
6750 Biddulph Rd Ste 105 Brooklyn OH 44144-3365 | |
| (216) 485-1211 | |
| Not Available |
| Full Name | Buckeye Denture Clinic |
|---|---|
| Speciality | Dentist |
| Location | 6750 Biddulph Rd Ste 105, Brooklyn, Ohio |
| Authorized Official Name and Position | Kathleen D Blanc (OWNER) |
| Authorized Official Contact | 2164851211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckeye Denture Clinic 6750 Biddulph Rd Ste 105 Brooklyn OH 44144-3365 Ph: (216) 485-1211 | Buckeye Denture Clinic 6750 Biddulph Rd Ste 105 Brooklyn OH 44144-3365 Ph: (216) 485-1211 |
| NPI Number | 1497135651 |
|---|---|
| Provider Enumeration Date | 06/03/2015 |
| Last Update Date | 07/16/2020 |
| Medicare PECOS PAC ID | 1153630553 |
|---|---|
| Medicare Enrollment ID | O20151026002851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497135651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30020650 (Ohio) | Primary |
| Provider Name | Kathleen D Blanc |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1689723991 PECOS PAC ID: 2062721467 Enrollment ID: I20151027001932 |
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