Ohio Dental Professionals, Delisle, P.c.
NPI #1801594692 in Springfield, Ohio
Provider Information
- NPI Number
- 1801594692
- 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
- Feb 21, 2023
- Last Updated
- Feb 21, 2023
Practice Location
- Address
- 200 N FOUNTAIN AVE
- City
- Springfield
- State
- Ohio
- ZIP Code
- 45504-2535
- Phone
- (937) 399-9381
Authorized Official
- Name
- HILLARY THULL
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-8946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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