555 W Elm St Dentistry Llc is a Dental Clinic in Lima, Ohio. It is located at 555 W Elm St, Lima, OH and its contact number is 419-229-0776. The authorized person for 555 W Elm St Dentistry Llc is David Wayne Hancock
who is Owner of the clinic and their contact number is 419-229-0776. The primary license number for 555 W Elm St Dentistry Llc is 30 . 20842 (General Practice) in Ohio. 555 W Elm St Dentistry Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
555 W Elm St Dentistry Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
555 W Elm St Dentistry Llc
Specialization:
General Practice Dentistry
Clinic Address:
555 W Elm St, Lima, Ohio, 45801-4757
Phone:
419-229-0776
Fax:
419-229-3828
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
David Wayne Hancock
Position:
Owner
Contact Number:
419-229-0776
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for 555 W Elm St Dentistry Llc clinic are as mentioned below.
NPI Number:
1043351034
NPI Enumeration Date:
10 Feb, 2007
NPI Last Update On:
19 Mar, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 555 W Elm St Dentistry Llc are as mentioned below.
Specialization
License Number
State
Status
General Practice
30 . 20842
Ohio
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2081376
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
555 W Elm St Dentistry Llc 555 W Elm St, Lima, Ohio
Zip:
45801-4757
Phone Number:
419-229-0776
Fax Number:
419-229-3828
Patients can reach 555 W Elm St Dentistry Llc at 555 W Elm St, Lima, Ohio or can call to book an appointment on 419-229-0776. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.