Heartland Dental Care of Ohio

NPI #1336485580 in Centerville, Ohio

Provider Information

NPI Number: 1336485580
Entity Type: Organization
Organization Name: Heartland Dental Care of Ohio
Subpart: Yes (part of a larger organization)
Parent Organization: HEARTLAND DENTAL CARE OF OHIO
Primary Specialty: Dentist
Enumeration Date: Dec 17, 2012
Last Updated: Dec 17, 2012

Practice Location

Address: 6450 CENTERVILLE BUSINESS PKWY
City: Centerville
State: Ohio
ZIP Code: 45459-2633
Phone: (217) 540-5100

Authorized Official

Name: MARIE KUHL
Title: CREDENTIALING MANAGER
Phone: (217) 540-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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