Mr. Charles Kenneth Dematte Jr. is a Bridgeport, Ohio based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Charles Kenneth Dematte Jr. is 15334 for General Practice Dentistry in Ohio. His current practice location is 334 Main Street, Bridgeport. Patients can reach him at 740-635-2567.
Mr. Charles Kenneth Dematte Jr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mr. Charles Kenneth Dematte Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mr. Charles Kenneth Dematte Jr.
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
334 Main Street, Bridgeport, Ohio, 43912
Phone:
740-635-2567
Fax:
740-635-1976
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 are as mentioned below.
NPI Number:
1578601498
NPI Enumeration Date:
02 Feb, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Charles Kenneth Dematte Jr. are as mentioned below.
License Number
Specialization
State
Status
15334
General Practice Dentistry
Ohio
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Charles Kenneth Dematte Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0604019
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:
334 Main Street, Bridgeport, Ohio
Zip:
43912
Phone Number:
740-635-2567
Fax Number:
740-635-1976
Patients can reach Mr. Charles Kenneth Dematte Jr. at 334 Main Street, Bridgeport, Ohio or can call to book an appointment on 740-635-2567. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.