| Family Dental Care At Eagleton Center | |
|
391 Lafayette St. London OH 43140-9195 | |
| (740) 852-7741 | |
| (740) 852-7783 |
| Full Name | Family Dental Care At Eagleton Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 391 Lafayette St., London, Ohio |
| Authorized Official Name and Position | Ali Khaksafard (OWNER) |
| Authorized Official Contact | 7408527741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Care At Eagleton Center 391 Lafayette St London OH 43140-9326 Ph: (740) 852-7741 | Family Dental Care At Eagleton Center 391 Lafayette St. London OH 43140-9195 Ph: (740) 852-7741 |
| NPI Number | 1811170160 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 03/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811170160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Mark M. Lima, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 E High St, London, OH 43140 Phone: 740-852-5771 Fax: 740-852-6850 | |
Jennifer R Sogan Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 E High St, London, OH 43140 Phone: 740-852-5771 Fax: 740-852-6850 | |
Sampson Dentistry Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1340 Us Highway 42 Ne, London, OH 43140 Phone: 614-879-9000 Fax: 614-879-8679 |