| Columbus Grove Family Dentistry | |
|
109 N High St Columbus Grove OH 45830-1240 | |
| (419) 659-6000 | |
| (419) 659-6004 |
| Full Name | Columbus Grove Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 109 N High St, Columbus Grove, Ohio |
| Authorized Official Name and Position | Earl Recker (OWNER) |
| Authorized Official Contact | 4196596000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Grove Family Dentistry 109 N High St Columbus Grove OH 45830-1240 Ph: () - | Columbus Grove Family Dentistry 109 N High St Columbus Grove OH 45830-1240 Ph: (419) 659-6000 |
| NPI Number | 1184897829 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184897829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30-02-0534 (Ohio) | Primary |