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)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
Provider Address
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