| Chillicothe Pediatric Dentistry | |
|
1140 Western Ave Chillicothe OH 45601-1174 | |
| (740) 773-8320 | |
| (740) 773-8321 |
| Full Name | Chillicothe Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1140 Western Ave, Chillicothe, Ohio |
| Authorized Official Name and Position | Ronald A Griffin (OWNER/PRESIDENT) |
| Authorized Official Contact | 7407738320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chillicothe Pediatric Dentistry 1140 Western Ave Chillicothe OH 45601-1174 Ph: (740) 773-8320 | Chillicothe Pediatric Dentistry 1140 Western Ave Chillicothe OH 45601-1174 Ph: (740) 773-8320 |
| NPI Number | 1588825673 |
|---|---|
| Provider Enumeration Date | 06/20/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588825673 | NPI | - | NPPES |
| 2900098 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3021161 (Ohio) | Primary |
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