Organization
THIRD STREET COMMUNITY CLINIC, INC.
Active
Organization
THIRD STREET COMMUNITY CLINIC, INC.
Active
Other names
9th Street Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY ANDERSON (CEO)
(419) 526-7880
Entity
Organization
Contact information
Practice address
431 E 9TH ST, ASHLAND, OH 44805-1903
(419) 289-1430
(419) 525-6723
Mailing address
1404 PARK AVE W STE 2, ONTARIO, OH 44906-2719
(419) 522-6191
(419) 525-6723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
05/19/2026
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