# WILLIAM L MEDVED DDS FAMILY DENTISTRY,INC

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

## Provider details

- **NPI number:** 1568083392
- **Authorized official:** DIANE L GLENN (FRONT DESK)
- **Authorized official phone:** (740) 653-9660

## Contact information

- **Practice address:** 330 N BROAD ST, LANCASTER, OH 43130-3003
- **Practice address phone:** (740) 653-9660
- **Practice address fax:** (740) 653-8975
- **Mailing address:** 330 N BROAD ST, LANCASTER, OH 43130-3003
- **Mailing address phone:** (740) 653-9660
- **Mailing address fax:** (740) 653-8975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2020
- **Last updated:** 05/04/2020