| Richard D. Dietz, Dds Inc. | |
|
314 Patrick Avenue Urbana OH 43078 | |
| (937) 653-5359 | |
| (937) 653-5964 |
| Full Name | Richard D. Dietz, Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 314 Patrick Avenue, Urbana, Ohio |
| Authorized Official Name and Position | Richard David Dietz, (PRESIDENT) |
| Authorized Official Contact | 9376535359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard D. Dietz, Dds Inc. 314 Patrick Avenue Urbana OH 43078 Ph: (937) 653-5359 | Richard D. Dietz, Dds Inc. 314 Patrick Avenue Urbana OH 43078 Ph: (937) 653-5359 |
| NPI Number | 1215020938 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 07/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215020938 | NPI | - | NPPES |
| 0321226 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30-015069 (Ohio) | Primary |
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