Painesville Dental Group

NPI 1033296553 - Dentist - 1223G0001X

NPI Details
NPI 1033296553
Enumeration Date 11/01/2006
Last Updated 11/02/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JERRY V JERRY
Position OFFICER/MEMBER DDS
Phone (440) 354-2183
Fax (440) 354-0811
Practice Location
128 MENTOR AVE
PAINESVILLE OH, 44077, US
Phone (440) 354-2183
Fax (440) 354-0811
Business Location
301 CENTER ST.
SUITE 5
CHARDON OH, 44024, US
Phone (440) 286-2474
Fax (440) 286-2476
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Painesville Dental Group NPI is 1033296553, taxonomy code is 1223G0001X Painesville Dental Group physically located at 128 Mentor Ave, Painesville OH, 44077. NPI Number 1033115704 has the healthcare provider type.

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1033296553 NPI number is provided on an as is basis without warranty of any kind. 1033296553 is maintained by the National Plan & Provider Enumeration System. The contents of Painesville Dental Group are for informational purposes only.