| Goshen Family Dentistry, Ltd. | |
|
6782 Goshen Rd Goshen OH 45122-9317 | |
| (513) 722-2933 | |
| (513) 722-2923 |
| Full Name | Goshen Family Dentistry, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6782 Goshen Rd, Goshen, Ohio |
| Authorized Official Name and Position | Bradley C Brennecke (MANAGER) |
| Authorized Official Contact | 5137222933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Family Dentistry, Ltd. 6782 Goshen Rd Goshen OH 45122-9317 Ph: (513) 722-2933 | Goshen Family Dentistry, Ltd. 6782 Goshen Rd Goshen OH 45122-9317 Ph: (513) 722-2933 |
| NPI Number | 1710189055 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 02/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710189055 | NPI | - | NPPES |
| 2294539 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16397 (Ohio) | Primary |