| Meckler Dental Providers (stow), Inc. | |
|
4176 Kent Rd Stow OH 44224-4344 | |
| (330) 688-0057 | |
| (216) 584-1750 |
| Full Name | Meckler Dental Providers (stow), Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4176 Kent Rd, Stow, Ohio |
| Authorized Official Name and Position | Rachel Nittinger (MANAGER CREDENTIALING) |
| Authorized Official Contact | 9727550816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meckler Dental Providers (stow), Inc. 7160 Dallas Pkwy Ste 400 Plano TX 75024-7111 Ph: () - | Meckler Dental Providers (stow), Inc. 4176 Kent Rd Stow OH 44224-4344 Ph: (330) 688-0057 |
| NPI Number | 1396120226 |
|---|---|
| Provider Enumeration Date | 07/21/2015 |
| Last Update Date | 03/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396120226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30-024364 (Ohio) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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