Organization
TAYLORSVILLE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE BEATTY (FRONT DESK)
(937) 233-6500
Entity
Organization
Contact information
Practice address
7212 TAYLORSVILLE RD, HUBER HEIGHTS, OH 45424-2303
(937) 233-6500
(937) 233-6500
Mailing address
7212 TAYLORSVILLE RD, HUBER HEIGHTS, OH 45424-2303
(937) 233-6500
(937) 233-6500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20761
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2653534
—
OH
Enumeration date
02/07/2014
Last updated
02/07/2014
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