Organization
HOLZER DENTAL CLINIC JACKSON LLC
Active
Other names
Dental Health Partners
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI L. DERROW (OFFICE MANAGER)
(740) 286-0480
Entity
Organization
Contact information
Practice address
190 WATER ST, SUITE 2, JACKSON, OH 45640-1303
(740) 286-0480
(740) 286-8968
Mailing address
190 WATER ST, SUITE 2, JACKSON, OH 45640-1303
(740) 286-0480
(740) 286-8968
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22552
OH
1223G0001X
General Practice Dentistry
Primary
15967
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0383213
—
OH
05
—
2747433
—
OH
05
—
3142969
—
OH
Enumeration date
05/04/2006
Last updated
06/17/2011
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