NPI 1962670018 · live from the CMS NPI Registry
Elizabeth S Bujack, DDS MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Kent, OH. National Provider Identifier 1962670018, active.
NPI record
| NPI | 1962670018 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 121 N Depeyster St, Kent, OH 44240 |
| Practice phone | 330-678-6111 |
| Enumerated | February 12, 2008 |
| Last updated | February 12, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 30016399 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.