| Buckeye Lake Dental Llc | |
|
5097 Walnut Road Buckeye Lake OH 43008 | |
| (740) 527-8989 | |
| Not Available |
| Full Name | Buckeye Lake Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5097 Walnut Road, Buckeye Lake, Ohio |
| Authorized Official Name and Position | Colin J Golian (SOLE MEMBER/OWNER) |
| Authorized Official Contact | 7405278989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckeye Lake Dental Llc 5097 Walnut Rd Buckeye Lake OH 43008-7787 Ph: (740) 527-8989 | Buckeye Lake Dental Llc 5097 Walnut Road Buckeye Lake OH 43008 Ph: (740) 527-8989 |
| NPI Number | 1891525663 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 03/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891525663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |