| Edgewood Dental Clinic | |
|
1 South Edgewood Ave Hamilton OH 45013-2505 | |
| (513) 868-9277 | |
| (513) 868-9277 |
| Full Name | Edgewood Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1 South Edgewood Ave, Hamilton, Ohio |
| Authorized Official Name and Position | Raymond R Thenot (OWNER) |
| Authorized Official Contact | 5138689277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewood Dental Clinic 1 South Edgewood Ave Hamilton OH 45013-2505 Ph: (513) 868-9277 | Edgewood Dental Clinic 1 South Edgewood Ave Hamilton OH 45013-2505 Ph: (513) 868-9277 |
| NPI Number | 1194936724 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194936724 | NPI | - | NPPES |
| 30011994 | Other | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30011994 (Ohio) | Primary |
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