| Niles Family Dentistry Associates , Inc | |
|
827 Robbins Ave Niles OH 44446-2431 | |
| (330) 652-2676 | |
| Not Available |
| Full Name | Niles Family Dentistry Associates , Inc |
|---|---|
| Speciality | Dentist |
| Location | 827 Robbins Ave, Niles, Ohio |
| Authorized Official Name and Position | Alfred Scott Santucci (DENTIST) |
| Authorized Official Contact | 3306522676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Niles Family Dentistry Associates , Inc 827 Robbins Ave Niles OH 44446-2431 Ph: (330) 652-2676 | Niles Family Dentistry Associates , Inc 827 Robbins Ave Niles OH 44446-2431 Ph: (330) 652-2676 |
| NPI Number | 1134391311 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 09/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134391311 | NPI | - | NPPES |
| 0833334 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18923 (Ohio) | Primary |
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