Emergency Dentist LLC
Dentist, General Practice in Medina, OH. Organization (NPI-2).
NPI number1750100616
StatusActive
Last updated in NPPESOct 8, 2024
Details
- NPI
- 1750100616
- Entity type
- Organization (NPI-2)
- Legal business name
- Emergency Dentist LLC
- Organization subpart
- No
- Enumeration date
- Oct 8, 2024
- Certification date
- Oct 8, 2024
- Last updated
- Oct 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1543 Medina RdMedina, OH 44256-9622
Phone 330-727-0520
Mailing address
1543 Medina RdMedina, OH 44256-9622
Phone 330-727-0520
Other practice locations
5014 Grande Shops Ave
Medina, OH 44256-6786
Medina, OH 44256-6786
Phone 330-727-0520
Authorized official
Brenton Michael Sedon
Owner
3304179771
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