Organization
DONALD A DECHELLIS DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD A DECHELLIS DDS (OWNER)
(330) 726-8060
Entity
Organization
Contact information
Practice address
60 MARWOOD CIRCLE, BOARDMAN, OH 44512
(330) 726-8060
(330) 726-4948
Mailing address
60 MARWOOD CIRCLE, BOARDMAN, OH 44512
(330) 726-8060
(330) 726-4948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16735
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000072125
GATEWAY HEALTH PLAN
OH
05
—
0479049
—
OH
Enumeration date
05/20/2006
Last updated
08/22/2020
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