| D.m.m Group, Llc | |
|
100 Hospital Drive Medical Center Barnesville OH 43713 | |
| (740) 425-3093 | |
| (740) 425-1714 |
| Full Name | D.m.m Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Hospital Drive Medical Center, Barnesville, Ohio |
| Authorized Official Name and Position | David M Mayberry (CO-OWNER) |
| Authorized Official Contact | 7404253093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D.m.m Group, Llc 100 Hospital Drive Medical Center P O Box 368 Barnesville OH 43713 Ph: (740) 425-3093 | D.m.m Group, Llc 100 Hospital Drive Medical Center Barnesville OH 43713 Ph: (740) 425-3093 |
| NPI Number | 1891912879 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891912879 | NPI | - | NPPES |
| 2680433 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16456 (Ohio) | Secondary |
| 1223G0001X | Dentist - General Practice | 10454 (Ohio) | Primary |