Dental Services of Ohio

NPI #1649445198 in Canton, Ohio

Provider Information

NPI Number: 1649445198
Entity Type: Organization
Organization Name: Dental Services of Ohio
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL SERVICES OF OHIO
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 25, 2008
Last Updated: Apr 12, 2017

Practice Location

Address: 4324 TUSCARAWAS ST.
City: Canton
State: Ohio
ZIP Code: 44708-5427
Phone: (330) 478-4780

Authorized Official

Name: AMY WHEELER
Title: CREDENTIALING COORDINATOR
Phone: (913) 800-6952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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