| Dr. Timothy J. Backiewicz, D.d.s., Inc. | |
|
68 N. High St. Building F New Albany OH 43054 | |
| (614) 855-0202 | |
| (614) 855-8520 |
| Full Name | Dr. Timothy J. Backiewicz, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 68 N. High St., New Albany, Ohio |
| Authorized Official Name and Position | Timothy James Backiewicz (PRESIDENT) |
| Authorized Official Contact | 6148550202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Timothy J. Backiewicz, D.d.s., Inc. 68 N. High St. Building F New Albany OH 43054 Ph: (614) 855-0202 | Dr. Timothy J. Backiewicz, D.d.s., Inc. 68 N. High St. Building F New Albany OH 43054 Ph: (614) 855-0202 |
| NPI Number | 1972913200 |
|---|---|
| Provider Enumeration Date | 05/08/2014 |
| Last Update Date | 05/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972913200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30-019554 (Ohio) | Primary |
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