| Charles K. Dematte Dds Inc | |
|
334 Main St Bridgeport OH 43912-1346 | |
| (740) 635-2567 | |
| (740) 635-1976 |
| Full Name | Charles K. Dematte Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 334 Main St, Bridgeport, Ohio |
| Authorized Official Name and Position | Charles Kenneth Dematte (OWNER) |
| Authorized Official Contact | 7406352567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles K. Dematte Dds Inc 334 Main St Bridgeport OH 43912-1346 Ph: (740) 635-2567 | Charles K. Dematte Dds Inc 334 Main St Bridgeport OH 43912-1346 Ph: (740) 635-2567 |
| NPI Number | 1801050968 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801050968 | NPI | - | NPPES |
| 0604019 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 15334 (Ohio) | Primary |