GMN Tri-County Cac, Inc.
Organization Active NPI General Practice Dentistry · Caldwell, OH
NPI 1346351491 · NPPES record last updated Sep 6, 2023
Key facts
- NPI
- 1346351491
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30022137 (OH)
- Legal business name
- GMN TRI-COUNTY CAC, INC.
- Practice address
- 606 West St
Caldwell, OH 43724-1229 - Phone
- (740) 732-4292
- Fax
- (740) 732-2389
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Ashley N Wheeldin
- Title
- Dental Director
- Phone
- (740) 732-4292
Practitioners 1
-
Shannon R Stevens-McLain, D.D.S.
National Provider Directory
Locations
606 West St
Caldwell, OH 43724
Phone (740) 732-4292
615 North St
Caldwell, OH 43724
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 30022137 | OH | Yes |
Addresses
Primary practice location
606 West St
Caldwell, OH 43724-1229
Mailing address
615 North St
Caldwell, OH 43724-1123
Phone (740) 732-2388
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0875601 | Medicaid | OH |
Other names
- GMN Healthy Smiles Dental Clinic
Other providers in Caldwell, OH
- Melissa Fitzgerald
- G L Davis Drug Inc.
- G. L. Davis Drug Inc
- Debbie A Gheen
- Kera Lyn Gillespie
- Clarice Rebecca Hall
- Denise Alma Hardesty
- Jeffrey J Harding II
- Rebecca Jane Hayes
- Rebecca Sue Hill
All providers in Caldwell, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.