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Contact Information

PREMIER FAMILY DENTAL
1392 HIGH ST #210
WADSWORTH, OH44281
 Phone: 330-334-7645
 Fax: 330-335-2322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for PREMIER FAMILY DENTAL

NPI # 1003926890
LBN Legal business name PREMIER FAMILY DENTAL
Authorized official SHAHIR KHALIL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OH License # 30 021326
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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