Organization
SHINE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN MCARTHUR (DIRECTOR OF OPERATIONS)
(513) 633-1661
Entity
Organization
Contact information
Practice address
1120 WESTERN AVE, CHILLICOTHE, OH 45601-1174
(740) 773-0072
Mailing address
1120 WESTERN AVE, CHILLICOTHE, OH 45601-1174
(740) 773-0072
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548404575
—
OH
Enumeration date
01/31/2019
Last updated
01/31/2019
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