Organization
GMN TRI-COUNTY CAC, INC.
Active
Other names
GMN Healthy Smiles Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY N WHEELDIN (DENTAL DIRECTOR)
(740) 732-4292
Entity
Organization
Contact information
Practice address
606 WEST ST, CALDWELL, OH 43724-1229
(740) 732-4292
(740) 732-2389
Mailing address
615 NORTH ST, CALDWELL, OH 43724-1123
(740) 732-2388
(740) 732-2389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30022137
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0875601
—
OH
Enumeration date
08/31/2006
Last updated
09/06/2023
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