Organization
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Active
Parent organization
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Other names
Great Oaks Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
950 HIGH ST, WADSWORTH, OH 44281-8223
(330) 331-5738
(330) 331-7790
Mailing address
950 HIGH ST, WADSWORTH, OH 44281-8223
(330) 331-5738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
01/15/2021
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