Provider Type Icon

KROUSE-EVANS INC. NPI 1962647180


NPI Information

NPI: 1962647180
Provider Name: KROUSE-EVANS, INC.

Doing Business As: DEFIANCE DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
245 STADIUM DR
DEFIANCE, OH
ZIP 43512
Phone: (419) 782-7950
Get Directions

KROUSE-EVANS, INC. is a general practice dentist in Defiance, 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. KROUSE-EVANS, INC. NPI is 1962647180. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Defiance Dental Group.

The provider's business location address is:

245 STADIUM DR
DEFIANCE, OH
ZIP 43512-604
Phone: (419) 782-7950
Fax: (419) 782-8880

The provider's authorized official is Brandi Eberle .
The authorized official title is Office Manager and has the following contact phone number (419) 782-7950.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 12/3/2008.


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 Practice30013385OHIOYes

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
10415250MEDICAIDOHIO

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.