| The Houston Dental Group Inc | |
|
22901 Millcreek Blvd Ste. 140 Beachwood OH 44122-5728 | |
| (216) 292-8499 | |
| (216) 292-8745 |
| Full Name | The Houston Dental Group Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22901 Millcreek Blvd, Beachwood, Ohio |
| Authorized Official Name and Position | James H Houston (OWNER) |
| Authorized Official Contact | 2162928499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Houston Dental Group Inc 22901 Millcreek Blvd Ste. 140 Beachwood OH 44122-5728 Ph: (216) 292-8499 | The Houston Dental Group Inc 22901 Millcreek Blvd Ste. 140 Beachwood OH 44122-5728 Ph: (216) 292-8499 |
| NPI Number | 1437340478 |
|---|---|
| Provider Enumeration Date | 08/06/2007 |
| Last Update Date | 08/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437340478 | NPI | - | NPPES |
| 0195319 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13801 (Ohio) | Primary |
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