Dr Justin Modugno, DDS | |
8340 Cleveland Ave Nw, North Canton, OH 44720-4820 | |
(330) 494-6305 | |
Not Available |
Full Name | Dr Justin Modugno |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 8340 Cleveland Ave Nw, North Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346623147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | RES.3620 (Ohio) | Secondary |
122300000X | Dentist | 30-024466 (Ohio) | Primary |
Entity Name | Cleveland Clinic Mercy Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366433195 PECOS PAC ID: 0547156796 Enrollment ID: O20040224001287 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Modugno, DDS 8340 Cleveland Ave Nw, North Canton, OH 44720-4820 Ph: (330) 494-6305 | Dr Justin Modugno, DDS 8340 Cleveland Ave Nw, North Canton, OH 44720-4820 Ph: (330) 494-6305 |
Dr. Chelsey Katherine Cueto, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 6451 Frank Ave Nw, North Canton, OH 44720 Phone: 330-806-8763 | |
Kelly Ann Roth, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1515 Portage St Nw, Suite I, North Canton, OH 44720 Phone: 330-494-0646 Fax: 330-494-9181 | |
Dr. Francis Andrew Bertolini, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6500 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-494-6305 Fax: 330-494-7311 | |
Dr. Michael Leahy Thomas, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1421 Portage St Nw, North Canton, OH 44720 Phone: 330-494-2111 Fax: 330-494-1947 | |
Payalben Kansara, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6921 Wales Crossing St Nw Apt C, North Canton, OH 44720 Phone: 201-238-3385 | |
Dr. John A Agelopoulos, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1177 South Main, North Canton, OH 44790 Phone: 330-499-6260 | |
Dr. John D Suglio, DDS Dentist Medicare: Medicare Enrolled Practice Location: 512 S Main St, North Canton, OH 44720 Phone: 330-499-4403 |