| Ohio Orthodontic Specialists | |
|
2890 Sand Run Pkwy Suite A Fairlawn OH 44333-2875 | |
| (330) 836-0135 | |
| (330) 836-3813 |
| Full Name | Ohio Orthodontic Specialists |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2890 Sand Run Pkwy, Fairlawn, Ohio |
| Authorized Official Name and Position | Dale A. Kates (ORTHODONTIST) |
| Authorized Official Contact | 3308360135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Orthodontic Specialists 2890 Sand Run Pkwy Suite A Fairlawn OH 44333-2875 Ph: (330) 836-0135 | Ohio Orthodontic Specialists 2890 Sand Run Pkwy Suite A Fairlawn OH 44333-2875 Ph: (330) 836-0135 |
| NPI Number | 1164570255 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164570255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 19830 (Ohio) | Primary |
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