THIRD STREET DENTAL MOBILE VAN NPI 1548594526

NPI Information

THIRD STREET DENTAL MOBILE VAN is a federally qualified health center (fqhc) clinic center in Mansfield, OH. THIRD STREET DENTAL MOBILE VAN NPI is 1548594526. The provider is registered as an organization entity type.
The provider Is Doing Business As Third Street Family Health Services.

The provider's business location address is:

600 W 3RD ST
MANSFIELD, OH
ZIP 44906-633
Phone: (419) 522-6191
Fax: (419) 526-4911

The provider's authorized official is Peggy Anderson .
The authorized official title is Cfo and has the following contact phone number (419) 522-6191.

The enumeration date for this NPI number is 9/24/2009 and was last updated on 5/26/2022.

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:

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