| Bucyrus Family Dentist Group | |
|
117 S Poplar St Bucyrus OH 44820-2209 | |
| (419) 562-9901 | |
| Not Available |
| Full Name | Bucyrus Family Dentist Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 117 S Poplar St, Bucyrus, Ohio |
| Authorized Official Name and Position | David M Raiffe (DENTIST/OWNER) |
| Authorized Official Contact | 4195629901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bucyrus Family Dentist Group 117 S Poplar St Bucyrus OH 44820-2209 Ph: () - | Bucyrus Family Dentist Group 117 S Poplar St Bucyrus OH 44820-2209 Ph: (419) 562-9901 |
| NPI Number | 1144667577 |
|---|---|
| Provider Enumeration Date | 05/24/2013 |
| Last Update Date | 05/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144667577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019625 (Ohio) | Primary |
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