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WAUSEON DENTAL GROUP L.L.C. NPI 1003231994


NPI Information

NPI: 1003231994
Provider Name: WAUSEON DENTAL GROUP L.L.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 36D2043146

Address:
229 N FRANKLIN ST
WAUSEON, OH
ZIP 43567
Phone: (419) 337-2391
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WAUSEON DENTAL GROUP L.L.C. is a general practice dentist in Wauseon, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WAUSEON DENTAL GROUP L.L.C. NPI is 1003231994. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

229 N FRANKLIN ST
WAUSEON, OH
ZIP 43567-265
Phone: (419) 337-2391
Fax: (419) 335-0700

The provider's authorized official is Missi L Pelok .
The authorized official title is Office Mgr. and has the following contact phone number (419) 337-2391.

The CLIA number assigned to this NPI record is 36D2043146 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/28/2014 and was last updated on 2/28/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice30019920OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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