| Perrysburg Family Dentistry | |
|
139 W Indiana Ave Suite 101 Perrysburg OH 43551-1583 | |
| (419) 872-9191 | |
| (419) 872-9590 |
| Full Name | Perrysburg Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 139 W Indiana Ave, Perrysburg, Ohio |
| Authorized Official Name and Position | Jon Bruce Dove (DENTIST) |
| Authorized Official Contact | 4198729191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perrysburg Family Dentistry 139 W Indiana Ave Suite 101 Perrysburg OH 43551-1583 Ph: (419) 872-9191 | Perrysburg Family Dentistry 139 W Indiana Ave Suite 101 Perrysburg OH 43551-1583 Ph: (419) 872-9191 |
| NPI Number | 1043325368 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043325368 | NPI | - | NPPES |
| 803897 | Other | OH | UNITED CONCORDIA PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19539 (Ohio) | Primary |
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