| Fayette County Dental Clinic | |
|
1400 Us Route 22 Nw Washington Court House OH 43160-1402 | |
| (740) 335-7282 | |
| (740) 335-6802 |
| Full Name | Fayette County Dental Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1400 Us Route 22 Nw, Washington Court House, Ohio |
| Authorized Official Name and Position | Lucinda Jean Baughn (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7403357282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayette County Dental Clinic 1400 Us Route 22 Nw Washington Court House OH 43160 Ph: (740) 335-7282 | Fayette County Dental Clinic 1400 Us Route 22 Nw Washington Court House OH 43160-1402 Ph: (740) 335-7282 |
| NPI Number | 1154488187 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154488187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Secondary |
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