| Magnolia Dental Centerville | |
|
401 Miamisburg Centerville Rd Centerville OH 45459-4753 | |
| (937) 435-5073 | |
| Not Available |
| Full Name | Magnolia Dental Centerville |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 401 Miamisburg Centerville Rd, Centerville, Ohio |
| Authorized Official Name and Position | Meghan Koeneman (DIRECTOR OF REVENUE CYCLE MANAGEMEN) |
| Authorized Official Contact | 3802033592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Dental Centerville 401 Miamisburg Centerville Rd Centerville OH 45459-4753 | Magnolia Dental Centerville 401 Miamisburg Centerville Rd Centerville OH 45459-4753 Ph: (937) 435-5073 |
| NPI Number | 1891308011 |
|---|---|
| Provider Enumeration Date | 08/27/2020 |
| Last Update Date | 09/04/2025 |
| Certification Date | 09/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891308011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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