| William S. Bricker Dds, Inc. | |
| 
					302 S Cleveland Street Antwerp OH 45813  | |
| (419) 258-6511 | |
| (419) 399-2884 | 
| Full Name | William S. Bricker Dds, Inc. | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 302 S Cleveland Street, Antwerp, Ohio | 
| Authorized Official Name and Position | William S. Bricker (PRESIDENT) | 
| Authorized Official Contact | 4192586511 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| William S. Bricker Dds, Inc. Po Box 1107 Antwerp OH 45813-1107 Ph: (419) 258-6511  | William S. Bricker Dds, Inc. 302 S Cleveland Street Antwerp OH 45813 Ph: (419) 258-6511  | 
| NPI Number | 1104092931 | 
|---|---|
| Provider Enumeration Date | 05/01/2008 | 
| Last Update Date | 05/01/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104092931 | NPI | - | NPPES | 
| 0974138 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30012413 (Ohio) | Primary | 
Sarah J Mowery Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 South Cleveland Street, Antwerp, OH 45813 Phone: 419-258-6511  |