NPI 1003926890

Premier Family Dental

Organisation General Practice Dentistry Wadsworth, OH

Practice location

Address: 1392 High St #210, Wadsworth, OH 44281
Phone: (330) 334-7645
Fax: (330) 335-2322

Authorised official

Name: Shahir Khalil
Title: President
Phone: (330) 334-7645

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 30 021326 (OH)

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Registry record

NPI: 1003926890
Entity type: Organization
NPI issued: 30 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.