Provider Demographics
NPI:1861374431
Name:DR ADREEL GEORGE DDS LLC
Entity type:Organization
Organization Name:DR ADREEL GEORGE DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADREEL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:240-917-5732
Mailing Address - Street 1:604 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:OH
Mailing Address - Zip Code:45067-1432
Mailing Address - Country:US
Mailing Address - Phone:513-988-6272
Mailing Address - Fax:
Practice Address - Street 1:604 W STATE ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:OH
Practice Address - Zip Code:45067-1432
Practice Address - Country:US
Practice Address - Phone:513-988-6272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1215640305Medicaid