Ohio Dental Professionals, Delisle, P.c.

NPI #1750900452 in Wadsworth, Ohio

Provider Information

NPI Number: 1750900452
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: Apr 13, 2020
Last Updated: Jan 15, 2021

Practice Location

Address: 950 HIGH ST
City: Wadsworth
State: Ohio
ZIP Code: 44281-8223
Phone: (330) 331-5738

Authorized Official

Name: JESSICA BRITT
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-5100

Specialties & Taxonomy Codes

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

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