Meckler Dental Providers (avon), Inc.

NPI #1053778092 in Avon, Ohio

Provider Information

NPI Number: 1053778092
Entity Type: Organization
Organization Name: Meckler Dental Providers (avon), Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTALONE PARTNERS, INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 21, 2016
Last Updated: Mar 20, 2018

Practice Location

Address: 36050 DETROIT RD STE T
City: Avon
State: Ohio
ZIP Code: 44011-1685
Phone: (440) 934-0147

Authorized Official

Name: RACHEL NITTINGER
Title: MANAGER CREDENTIALING
Phone: (972) 755-0816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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