Organization
AMHERST DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLYNE JUNGERMANN (OFFICE MANAGER)
(440) 988-5711
Entity
Organization
Contact information
Practice address
255 S MAIN ST, AMHERST, OH 44001-2158
(440) 988-5711
Mailing address
255 S MAIN ST, AMHERST, OH 44001-2158
(440) 988-5711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20914
LICENSE
OH
Enumeration date
07/08/2019
Last updated
07/08/2019
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