SearchOhio101YM0800X

Peter Dedominici, LSW

NPI 1649923442 · on the registry since 2022 · sole proprietor

Practice

Address
188 W Hebble Ave
Fairborn, OH 45324
Phone
(937) 754-5911
Fax
(999) 999-9999
Organisation at this address
Begino Dental Care Llc
Lowell B Heck Dds Co Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
69

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
104100000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio