| Wauseon Dental Group L.l.c. | |
|
229 N Franklin St Wauseon OH 43567-1265 | |
| (419) 337-2391 | |
| (419) 335-0700 |
| Full Name | Wauseon Dental Group L.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 229 N Franklin St, Wauseon, Ohio |
| Authorized Official Name and Position | Missi L Pelok (OFFICE MGR.) |
| Authorized Official Contact | 4193372391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wauseon Dental Group L.l.c. 229 N Franklin St Wauseon OH 43567-1265 Ph: (419) 337-2391 | Wauseon Dental Group L.l.c. 229 N Franklin St Wauseon OH 43567-1265 Ph: (419) 337-2391 |
| NPI Number | 1003231994 |
|---|---|
| Provider Enumeration Date | 02/28/2014 |
| Last Update Date | 02/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003231994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30019920 (Ohio) | Primary |
Oral & Maxillofacial Surgeons Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 S Shoop Ave Ste G01, Wauseon, OH 43567 Phone: 419-517-2100 | |
Wauseon Dental Group L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 N Franklin St, Wauseon, OH 43567 Phone: 419-337-2391 Fax: 419-335-0700 | |
Oral & Maxillofacial Surgery Of Nw Ohio Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 S Shoop Ave, Wauseon, OH 43567 Phone: 419-335-6725 Fax: 419-335-6728 |