Alexander J Mcilvaine Dmd LLC

NPI #1831577717 in Wadsworth, Ohio

Provider Information

NPI Number: 1831577717
Entity Type: Organization
Organization Name: Alexander J Mcilvaine Dmd LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 12, 2015
Last Updated: May 12, 2015

Practice Location

Address: 235 BROAD ST
City: Wadsworth
State: Ohio
ZIP Code: 44281-2112
Phone: (330) 335-1563

Authorized Official

Name: DR. ALEXANDER JENTES MCILVAINE, DMD
Title: SOLE MEMBER
Phone: (330) 414-4083

Specialties & Taxonomy Codes

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

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