| Vienna Dental Center, Bart L. James, Dds, Roger L. Clouse, Dds, Ltd. | |
|
4400 Warren Sharon Rd Vienna OH 44473-8616 | |
| (330) 394-1672 | |
| (330) 394-1376 |
| Full Name | Vienna Dental Center, Bart L. James, Dds, Roger L. Clouse, Dds, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4400 Warren Sharon Rd, Vienna, Ohio |
| Authorized Official Name and Position | Bart L James (OWNER) |
| Authorized Official Contact | 3303941672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vienna Dental Center, Bart L. James, Dds, Roger L. Clouse, Dds, Ltd. Po Box 458 Vienna OH 44473-0458 Ph: (330) 394-1672 | Vienna Dental Center, Bart L. James, Dds, Roger L. Clouse, Dds, Ltd. 4400 Warren Sharon Rd Vienna OH 44473-8616 Ph: (330) 394-1672 |
| NPI Number | 1124390356 |
|---|---|
| Provider Enumeration Date | 02/03/2012 |
| Last Update Date | 02/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124390356 | NPI | - | NPPES |
| 2605327 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30.21956 (Ohio) | Primary |