| Modern Dental Professionals-lee,inc | |
| 
					1 S High St Arcanum OH 45304-1118  | |
| (937) 692-5150 | |
| Not Available | 
| Full Name | Modern Dental Professionals-lee,inc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 1 S High St, Arcanum, Ohio | 
| Authorized Official Name and Position | Rhonda Keller (DISTRICT MANAGER) | 
| Authorized Official Contact | 9372787956 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Modern Dental Professionals-lee,inc 1 S High St Arcanum OH 45304-1118 Ph: (937) 692-5150  | Modern Dental Professionals-lee,inc 1 S High St Arcanum OH 45304-1118 Ph: (937) 692-5150  | 
| NPI Number | 1992989412 | 
|---|---|
| Provider Enumeration Date | 12/19/2007 | 
| Last Update Date | 12/19/2007 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992989412 | NPI | - | NPPES | 
| 2181400 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30.019758 (Ohio) | Primary |