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Mr. Charles Kenneth Dematte JR., DDS
General Practice Dentistry in Bridgeport, Ohio
NPI 1578601498

Charles Kenneth Dematte JR. is a General Practice Dentistry based in Bridgeport, OH and is specialized in General Practice. Charles Kenneth Dematte JR. practices in Bridgeport, OH and has the professional credentials of DDS. The NPI Number for Charles Kenneth Dematte JR. is 1578601498 and holds a License No. 15334 (Ohio).

The current practice location address for Charles Kenneth Dematte JR. is 334 Main Street, Bridgeport, OH and can be reached out via phone at 740-635-2567 and via fax at 740-635-1976.

Location: 334 Main Street, Bridgeport, OH, 43912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578601498
Provider Name
Charles Kenneth Dematte JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
334 Main Street, Bridgeport, OH, 43912
Phone Number
740-635-2567
Fax Number
740-635-1976
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0604019 05 OH
institution
Provider Business Practice Location Address Details
Address
334 Main Street
City
Bridgeport
State
Ohio
Zip
43912
Phone Number
740-635-2567
Fax Number
740-635-1976
person
Provider Business Mailing Address Details
Address
334 Main Street
City
Bridgeport
State
Ohio
Zip
43912
Phone Number
740-635-2567
Fax Number
740-635-1976
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
15334 (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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