NPI 1164800504

Bellefontaine Smiles Smith A.M. Reddy DDS INC

Organisation Exclusive Provider Organization Bellefontaine, OH

Practice location

Address: 661 S Main St, Bellefontaine, OH 43311-1725
Phone: (937) 592-7070
Mailing address: 8518 Stonechat Loop, Dublin, OH 43017-8625

Authorised official

Name: Smitha M Reddy
Title: President
Phone: (614) 843-1953

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 22578 (OH)

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Registry record

NPI: 1164800504
Entity type: Organization
NPI issued: 18 May 2015
Record last updated: 18 May 2015

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.