Organization
HART DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY A. HART DDS (MANAGER)
(419) 943-2278
Entity
Organization
Contact information
Practice address
15 E MAIN ST, LEIPSIC, OH 45856-1243
(419) 943-2278
Mailing address
15 E MAIN ST, LEIPSIC, OH 45856-1243
(419) 943-2278
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30016070
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2473167
—
OH
Enumeration date
06/25/2006
Last updated
08/22/2020
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