Jon Bruce Dove in Perrysburg - Dentist

Jon Bruce Dove - NPI 1033306675

Jon Bruce Dove is a Dentist in Perrysburg, Ohio. Jon Bruce Dove practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jon Bruce Dove is 1033306675. The last update date is 2016-12-01.

Jon Bruce Dove's current location address is 601 W Boundary St, Perrysburg, Ohio. You can contact this provider via phone number 4198729191. The mailing address for Jon Bruce Dove is 601 W Boundary St, Perrysburg, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Jon Bruce Dove
Address 601 W Boundary St, Perrysburg, Ohio
Phone Number 4198729191
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1033306675
Provider Enumeration Date 2007-09-27
Last Updated Date 2016-12-01

Provider Mailing Address Detail

Address 601 W Boundary St
City Perrysburg
State Ohio (OH)
Post Code 435511201
Phone Number 4198729191
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 19539
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
803897 OH UNITED CONCORDIA PROVIDER

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FAQs about Jon Bruce Dove

What is the Jon Bruce Dove's unique identification number?

The Jon Bruce Dove has been assigned the NPI (National Provider Identifier) Number 1033306675 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Jon Bruce Dove's facilities are situated?

The facilities of Jon Bruce Dove are physically located at the following address: 601 W Boundary St, Perrysburg, OH, 435511201.

What is Jon Bruce Dove's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jon Bruce Dove's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

When was the Jon Bruce Dove's 1033306675 issued?

The Jon Bruce Dove's 1033306675 was issued on 2007-09-27.

When was the information pertaining to Jon Bruce Dove most recently updated or revised?

The details related to Jon Bruce Dove, including its address, specialty, and other relevant information, were last updated or revised on 2016-12-01.

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