Gary M Judis in Groveport - Dentist

Gary M Judis - NPI 1578523619

Gary M Judis is a Dentist in Groveport, Ohio. Gary M Judis practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary M Judis is 1578523619. The last update date is 2007-07-08.

Gary M Judis's current location address is 5940 Clyde Moore Dr, Groveport, Ohio. You can contact this provider via phone number 6144921471 and fax number 6144921480. The mailing address for Gary M Judis is 5940 Clyde Moore Dr, Groveport, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary M Judis
Address 5940 Clyde Moore Dr, Groveport, Ohio
Phone Number 6144921471
Fax Number 6144921480
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1578523619
Provider Enumeration Date 2006-03-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5940 Clyde Moore Dr
City Groveport
State Ohio (OH)
Post Code 431252010
Phone Number 6144921471
Fax Number 6144921480

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 19680
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Gary M Judis

What is the unique provider identifier assigned to Gary M Judis?

The Gary M Judis has been issued the NPI (National Provider Identifier) 1578523619 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Gary M Judis's physical address?

The Gary M Judis is physically located at 5940 Clyde Moore Dr, in the city of Groveport, OH, with the postal code 431252010.

What is the Gary M Judis's specialty and taxonomy code?

The Gary M Judis's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

When did the Gary M Judis receive its 1578523619?

The Gary M Judis was issued its 1578523619 on 2006-03-24, which is the date when the organization was assigned this unique identifier.

When was the Gary M Judis's information last updated?

The Gary M Judis's information was last updated on 2007-07-08.

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