Russell E. Hudoba in Canfield - Periodontics
Russell E. Hudoba - NPI 1891790713
Russell E. Hudoba is a Periodontics in Canfield, Ohio. Russell E. Hudoba practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Russell E. Hudoba is 1891790713. The last update date is 2007-07-08.
Russell E. Hudoba's current location address is 6674 Tippecanoe Rd, Canfield, Ohio. You can contact this provider via phone number 3305330600 and fax number 3307021215. The mailing address for Russell E. Hudoba is 6674 Tippecanoe Rd, Canfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell E. Hudoba |
|---|---|
| Address | 6674 Tippecanoe Rd, Canfield, Ohio |
| Phone Number | 3305330600 |
| Fax Number | 3307021215 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1891790713 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6674 Tippecanoe Rd |
|---|---|
| City | Canfield |
| State | Ohio (OH) |
| Post Code | 4440691490 |
| Phone Number | 3305330600 |
| Fax Number | 3307021215 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 16625 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Russell E. Hudoba by the Centers for Medicare & Medicaid Services?
The Russell E. Hudoba has been issued the NPI (National Provider Identifier) 1891790713 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Russell E. Hudoba is located?
The Russell E. Hudoba is situated at the following address: 6674 Tippecanoe Rd, Canfield, OH, 4440691490.
What is the Russell E. Hudoba's specialty and taxonomy code?
The Russell E. Hudoba's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Russell E. Hudoba receive its 1891790713 assignment from the Centers for Medicare & Medicaid Services?
The Russell E. Hudoba was assigned its 1891790713 by the Centers for Medicare & Medicaid Services on 2005-06-16.
As of what date was the information regarding Russell E. Hudoba, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Russell E. Hudoba, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.