Organization
D.M.M GROUP, LLC
Active
Other names
DONALD M MAYBERRY AND DAVID M MAYBERRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M MAYBERRY D.D.S. (CO-OWNER)
(740) 425-3093
Entity
Organization
Contact information
Practice address
100 HOSPITAL DRIVE MEDICAL CENTER, BARNESVILLE, OH 43713
(740) 425-3093
(740) 425-1714
Mailing address
100 HOSPITAL DRIVE MEDICAL CENTER, P O BOX 368, BARNESVILLE, OH 43713
(740) 425-3093
(740) 425-1714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10454
OH
1223G0001X
General Practice Dentistry
16456
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2680433
—
OH
Enumeration date
04/19/2007
Last updated
08/22/2020
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