Organization
MADISON DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD DANIEL ZGODINSKI D.D.S. (PRESIDENT/OWNER)
(440) 428-1101
Entity
Organization
Contact information
Practice address
6248 N RIDGE RD, MADISON, OH 44057-2567
(440) 428-1101
(440) 428-6985
Mailing address
6248 N RIDGE RD, MADISON, OH 44057-2567
(440) 428-1101
(440) 428-6985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30018002
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0753788
—
OH
Enumeration date
06/11/2008
Last updated
06/11/2008
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