| North Lima Dental Center | |
|
11695 Market St North Lima OH 44452 | |
| (330) 549-2800 | |
| (330) 549-2660 |
| Full Name | North Lima Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11695 Market St, North Lima, Ohio |
| Authorized Official Name and Position | Frank Petrakos (OWNER) |
| Authorized Official Contact | 3305492800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Lima Dental Center 11695 Market St Po Box 304 North Lima OH 44452 Ph: (330) 549-2800 | North Lima Dental Center 11695 Market St North Lima OH 44452 Ph: (330) 549-2800 |
| NPI Number | 1093988859 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 04/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093988859 | NPI | - | NPPES |
| 2188010 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |