Organization
JON B. DOVE, D.D.S. A PROFESSIONAL LLC
Active
Other names
Perrysburg Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON BRUCE DOVE D.D.S. (DENTIST)
(419) 872-9191
Entity
Organization
Contact information
Practice address
139 W INDIANA AVE, SUITE 101, PERRYSBURG, OH 43551-1583
(419) 872-9191
(419) 872-9590
Mailing address
139 W INDIANA AVE, SUITE 101, PERRYSBURG, OH 43551-1583
(419) 872-9191
(419) 872-9590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19539
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
803897
UNITED CONCORDIA PROVIDER
OH
Enumeration date
08/19/2006
Last updated
08/22/2020
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