| Spencerville Dental Associates | |
|
201 N Broadway St Spencerville OH 45887-1290 | |
| (419) 647-4972 | |
| (419) 647-6795 |
| Full Name | Spencerville Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 201 N Broadway St, Spencerville, Ohio |
| Authorized Official Name and Position | Erik J Risolvato (OWNER) |
| Authorized Official Contact | 4192284036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spencerville Dental Associates 201 N Broadway St Spencerville OH 45887-1290 Ph: (419) 647-4972 | Spencerville Dental Associates 201 N Broadway St Spencerville OH 45887-1290 Ph: (419) 647-4972 |
| NPI Number | 1417395138 |
|---|---|
| Provider Enumeration Date | 06/05/2013 |
| Last Update Date | 06/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417395138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |