# ALPHA DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265740625
- **Authorized official:** MING SHENG YU DDS (OWNER)
- **Authorized official phone:** (567) 224-8754

## Contact information

- **Practice address:** 12906 STATE ROUTE 664 S, SUITE A7, LOGAN, OH 43138-9260
- **Practice address phone:** (567) 224-8745
- **Mailing address:** 12906 STATE ROUTE 664 S, SUITE A7, LOGAN, OH 43138-9260
- **Mailing address phone:** (567) 224-8745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | OH | Yes |

## Other

- **Enumeration date:** 09/20/2010
- **Last updated:** 11/22/2010