Family Dentistry On The Square, Inc

LBN: Family Dentistry On The Square, Inc
Family Dentistry On The Square, Inc is an health care organization with primary practice located at 111 Main St , Wadsworth OH 44281-1433. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Family Dentistry On The Square, Inc can be contacted via phone (330) 336-5788, or through Guthrie, Robert R via phone (330) 336-5788.

Contact Information

Primary practice address
111 Main St Wadsworth OH 44281-1433
Phone: (330) 336-5788
Fax: (330) 334-1425
Website:
Map and Directions
Authorized official contact:
Name: Guthrie, Robert R Doctor of Dental Surgery (DDS)
Phone: (330) 336-5788

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30-16242 Ohio

Profile Details

NPI number 1790233971
LBN Legal business name Family Dentistry On The Square, Inc
DBA Doing business as
Authorized official Guthrie, Robert R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2016
Last updated Sep 15th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790233971 NPPES
Ohio MEDICAID 0407018

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