NPI 1407921117 · live from the CMS NPI Registry
Ada Family Dentistry
Dentist, General Practice in Ada, OH. National Provider Identifier 1407921117, active.
NPI record
| NPI | 1407921117 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 4350 Sr 235, Ada, OH 45810 |
| Practice phone | 419-634-1050 |
| Mailing address | 4350 St Rt 235, Ada, OH 45810 |
| Enumerated | November 21, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Billy Morgan, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.