| Holzer Dental Clinic Jackson Llc | |
|
190 Water St Suite 2 Jackson OH 45640-1303 | |
| (740) 286-0480 | |
| (740) 286-8968 |
| Full Name | Holzer Dental Clinic Jackson Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 190 Water St, Jackson, Ohio |
| Authorized Official Name and Position | Sheri L. Derrow (OFFICE MANAGER) |
| Authorized Official Contact | 7402860480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holzer Dental Clinic Jackson Llc 190 Water St Suite 2 Jackson OH 45640-1303 Ph: (740) 286-0480 | Holzer Dental Clinic Jackson Llc 190 Water St Suite 2 Jackson OH 45640-1303 Ph: (740) 286-0480 |
| NPI Number | 1295783074 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 06/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295783074 | NPI | - | NPPES |
| 0383213 | Medicaid | OH | |
| 2747433 | Medicaid | OH | |
| 3142969 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22552 (Ohio) | Secondary |
| 1223G0001X | Dentist - General Practice | 15967 (Ohio) | Primary |
Donna J Miller Dmd Daniel F Green Dds & Jeremy D Crabtree Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 E Main St, Suite E, Jackson, OH 45640 Phone: 740-288-0208 Fax: 740-288-9878 | |
Southern Ohio Mini Dental Implant Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 E South St, Jackson, OH 45640 Phone: 740-577-3230 |