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CITY WIDE DENTAL SERVICES NPI 1164530259


NPI Information

NPI: 1164530259
Provider Name: CITY WIDE DENTAL SERVICES
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
725 MIAMI ST
TOLEDO, OH
ZIP 43605
Phone: (419) 693-4712
Get Directions

CITY WIDE DENTAL SERVICES is a general practice dentist in Toledo, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CITY WIDE DENTAL SERVICES NPI is 1164530259. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

725 MIAMI ST
TOLEDO, OH
ZIP 43605-278
Phone: (419) 693-4712
Fax: (419) 693-4495

The provider's authorized official is Mark Joseph Heenan .
The authorized official title is President and has the following contact phone number (419) 693-4712.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 10/2/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice17029OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12618984MEDICAIDOHIO
204944OTHEROHIOPARAMOUNT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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