| Gary A. Debevoise,d.d.s.,inc. | |
|
30 Custer Rd Heath OH 43056-1312 | |
| (740) 522-3161 | |
| (740) 522-8490 |
| Full Name | Gary A. Debevoise,d.d.s.,inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 30 Custer Rd, Heath, Ohio |
| Authorized Official Name and Position | Gary Allen Debevoise (PRESIDENT) |
| Authorized Official Contact | 7405223161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary A. Debevoise,d.d.s.,inc. 30 Custer Rd Heath OH 43056-1312 Ph: (740) 522-3161 | Gary A. Debevoise,d.d.s.,inc. 30 Custer Rd Heath OH 43056-1312 Ph: (740) 522-3161 |
| NPI Number | 1356496236 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356496236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30-014354 (Ohio) | Primary |
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