Provider Demographics
NPI:1609805852
Name:DENTAL ASSOCIATES OF NEWTON FALLS INC.
Entity Type:Organization
Organization Name:DENTAL ASSOCIATES OF NEWTON FALLS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:YEAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-872-5737
Mailing Address - Street 1:2000 MILTON BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWTON FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44444-9793
Mailing Address - Country:US
Mailing Address - Phone:330-872-5737
Mailing Address - Fax:330-872-7400
Practice Address - Street 1:2000 MILTON BLVD
Practice Address - Street 2:
Practice Address - City:NEWTON FALLS
Practice Address - State:OH
Practice Address - Zip Code:44444-9793
Practice Address - Country:US
Practice Address - Phone:330-872-5737
Practice Address - Fax:330-872-7400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty