| Pure Smiles Lima | |
|
2115 Allentown Rd Lima OH 45805-1749 | |
| (419) 228-4036 | |
| Not Available |
| Full Name | Pure Smiles Lima |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2115 Allentown Rd, Lima, Ohio |
| Authorized Official Name and Position | Jane Campbell (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4192284036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Smiles Lima 2115 Allentown Rd Lima OH 45805-1749 Ph: (419) 228-4036 | Pure Smiles Lima 2115 Allentown Rd Lima OH 45805-1749 Ph: (419) 228-4036 |
| NPI Number | 1720643752 |
|---|---|
| Provider Enumeration Date | 05/06/2019 |
| Last Update Date | 02/22/2022 |
| Certification Date | 10/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720643752 | NPI | - | NPPES |
| 1366754723 | Other | OH | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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