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CHARLES O. DU BOIS D.D.S. LTD NPI 1235399411


NPI Information

NPI: 1235399411
Provider Name: CHARLES O. DU BOIS, D.D.S. LTD
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
65015 OLD 21 RD
CAMBRIDGE, OH
ZIP 43725
Phone: (740) 439-2962
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CHARLES O. DU BOIS, D.D.S. LTD is a general practice dentist in Cambridge, 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. CHARLES O. DU BOIS, D.D.S. LTD NPI is 1235399411. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

65015 OLD 21 RD
CAMBRIDGE, OH
ZIP 43725-621
Phone: (740) 439-2962
Fax: (740) 439-0502

The provider's authorized official is Charles Oscar Du Bois .
The authorized official title is Owner and has the following contact phone number (740) 439-2962.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 6/11/2008.


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 Practice30. 021017OHIOYes

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
12164410MEDICAIDOHIO

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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