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555 W Elm St Dentistry Llc
General Practice Dentistry in Lima, Ohio
NPI 1043351034

555 W Elm St Dentistry Llc is a General Practice Dentistry based in Lima, OH and is specialized in General Practice. 555 W Elm St Dentistry Llc practices in Lima, OH. The NPI Number for 555 W Elm St Dentistry Llc is 1043351034 and holds a License No. 30 . 20842 (Ohio).

The current practice location address for 555 W Elm St Dentistry Llc is 555 W Elm St, Lima, OH and can be reached out via phone at 419-229-0776 and via fax at 419-229-3828.

Location: 555 W Elm St, Lima, OH, 45801-4757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043351034
Provider Name
555 W Elm St Dentistry Llc
Credential
Provider Entity Type
Organization
Address
555 W Elm St, Lima, OH, 45801-4757
Phone Number
419-229-0776
Fax Number
419-229-3828
Provider Enumeration Date
02/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2081376 05 OH
institution
Provider Business Practice Location Address Details
Address
555 W Elm St
City
Lima
State
Ohio
Zip
45801-4757
Phone Number
419-229-0776
Fax Number
419-229-3828
person
Provider Business Mailing Address Details
Address
555 W Elm St
City
Lima
State
Ohio
Zip
45801-4757
Phone Number
419-229-0776
Fax Number
419-229-3828
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
30 . 20842 (Ohio)
Definition
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.
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