Ohio Dental Professionals, Delisle, P.c.

NPI #1104787829 in Avon, Ohio

Provider Information

NPI Number: 1104787829
Entity Type: Organization
Organization Name: Ohio Dental Professionals, Delisle, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 21, 2025
Last Updated: Nov 21, 2025

Practice Location

Address: 1480 CENTER RD STE D
City: Avon
State: Ohio
ZIP Code: 44011-1239
Phone: (440) 937-2273

Authorized Official

Name: CEMYIRA MCDOUGAL
Title: CREDENTIALING COORDINATOR
Phone: (217) 764-8609

Specialties & Taxonomy Codes

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

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