Organization
HENDRICKS FAMILY DENTISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMISON HENDRICKS D.D.S. (PRESIDENT)
(330) 225-1433
Entity
Organization
Contact information
Practice address
4181 CENTER RD, BRUNSWICK, OH 44212-2935
(330) 225-1433
(330) 225-1744
Mailing address
4181 CENTER RD, BRUNSWICK, OH 44212-2935
(330) 225-1433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/10/2024
Last updated
10/02/2024
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