Organization
ATHENS DENTAL DEPOT, MICHAEL D. GINDER DDS & COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE CORNWELL (TREASURER/CPA)
(740) 707-7838
Entity
Organization
Contact information
Practice address
80 COLUMBUS RD, ATHENS, OH 45701-1312
(740) 594-6000
(740) 594-6025
Mailing address
80 COLUMBUS RD, ATHENS, OH 45701-1312
(740) 594-6000
(740) 594-6025
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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