Provider Demographics
NPI:1609364512
Name:COMPLETE DENTAL CARE OF CHAMPION HEIGHTS BY ROBERT DOYLE, DMD, LLC
Entity Type:Organization
Organization Name:COMPLETE DENTAL CARE OF CHAMPION HEIGHTS BY ROBERT DOYLE, DMD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-485-0309
Mailing Address - Street 1:2700 SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1158
Mailing Address - Country:US
Mailing Address - Phone:740-264-6811
Mailing Address - Fax:740-264-6812
Practice Address - Street 1:5078 MAHONING AVE NW
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-1408
Practice Address - Country:US
Practice Address - Phone:740-485-0309
Practice Address - Fax:740-264-6812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty