Organization
JACOB J. BISSONETTE DDS, LLC
Active
Other names
Greenfield Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB JOSEPH BISSONETTE DDS (OWNER/OPERATOR)
(937) 242-6677
Entity
Organization
Contact information
Practice address
1045 JEFFERSON ST STE A, GREENFIELD, OH 45123-8428
(937) 242-6677
(937) 203-3994
Mailing address
1045 JEFFERSON ST STE A, GREENFIELD, OH 45123-8428
(937) 242-6677
(937) 203-3994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30022616
OH
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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