Organization

River City Dental Group, Inc

General Practice Dentistry in Marietta, OH(View on Map)

Legal Business Name

River City Dental Group, Inc

NPI Number

1851515043

NPI Type

Organization

Enumeration Date

04/12/2007

Specialties

(Taxonomies)

Code

1223G0001X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

16905

Contact
Information

Purpose

Mailing
Location

Address

124 3RD ST
124 3RD ST

City

Marietta
Marietta

State

OH
OH

Postal Code

45750-3108
45750-3108

Country

US
US

Telephone Number

(740) 373-1826
(740) 373-1826

Authorized Official

Name

Dr. Timothy Tilton

Title or Position

PRESIDENT

Telephone Number

(740) 373-1826

Identifiers

Identifier

16905
18750

Identifier State

OH
OH

Identifier Issuer

OHIO DENTAL LICENSE
OHIO DENTAL LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

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