Organization
AKRON SMILES YOUTH DENTISTRY LLC MICHAEL CRITES, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENELL STUMP (MANAGER, L&C)
(615) 750-0343
Entity
Organization
Contact information
Practice address
881 E EXCHANGE ST, AKRON, OH 44306-1127
(330) 208-1100
(330) 208-1101
Mailing address
16 ARCADE UNIT 198747, NASHVILLE, TN 37219-1994
(615) 750-0343
(615) 986-1705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002127932
UNITED CONCORDIA
OH
01
—
179751
DENTAQUEST
OH
05
—
2712443
—
OH
Enumeration date
02/20/2007
Last updated
07/08/2014
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