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 |
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Address | 5940 Clyde Moore Dr, Groveport, Ohio |
Phone Number | 6144921471 |
Fax Number | 6144921480 |
Sole Proprietor | X |
Credentials | DDS |
NPI Number Detail
NPI Number | 1578523619 |
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Provider Enumeration Date | 2006-03-24 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 5940 Clyde Moore Dr |
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City | Groveport |
State | Ohio (OH) |
Post Code | 431252010 |
Phone Number | 6144921471 |
Fax Number | 6144921480 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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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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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.