| Dmg - Beavercreek Rj Caputo Dmd, Llc | |
|
2374 Lakeview Dr Beavercreek OH 45431-2793 | |
| (937) 431-0947 | |
| (937) 431-0950 |
| Full Name | Dmg - Beavercreek Rj Caputo Dmd, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2374 Lakeview Dr, Beavercreek, Ohio |
| Authorized Official Name and Position | Sarah M Smith (OWNER) |
| Authorized Official Contact | 9374310947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dmg - Beavercreek Rj Caputo Dmd, Llc 2374 Lakeview Dr Beavercreek OH 45431-2793 Ph: (937) 431-0947 | Dmg - Beavercreek Rj Caputo Dmd, Llc 2374 Lakeview Dr Beavercreek OH 45431-2793 Ph: (937) 431-0947 |
| NPI Number | 1497930168 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497930168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30-022642 (Ohio) | Primary |
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