| Harrison Pediatric Dentistry | |
|
1003 Harrison Ave Ste 300 Harrison OH 45030-2132 | |
| (513) 367-4048 | |
| Not Available |
| Full Name | Harrison Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1003 Harrison Ave Ste 300, Harrison, Ohio |
| Authorized Official Name and Position | Petr Alexander Vaughan (CEO) |
| Authorized Official Contact | 5133674048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrison Pediatric Dentistry 1003 Harrison Ave Ste 300 Harrison OH 45030-2132 | Harrison Pediatric Dentistry 1003 Harrison Ave Ste 300 Harrison OH 45030-2132 Ph: (513) 367-4048 |
| NPI Number | 1245033356 |
|---|---|
| Provider Enumeration Date | 04/01/2025 |
| Last Update Date | 04/01/2025 |
| Certification Date | 04/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245033356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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Harrison Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10530 Harrison Ave, Suite B, Harrison, OH 45030 Phone: 513-367-2999 Fax: 513-367-0000 |