David R. Backus Dds, Inc. | |
4720 Jackman Rd Suite A Toledo OH 43612-2077 | |
(419) 476-1484 | |
(419) 476-6914 |
Full Name | David R. Backus Dds, Inc. |
---|---|
Speciality | Dentist - Dentist Anesthesiologist |
Location | 4720 Jackman Rd, Toledo, Ohio |
Authorized Official Name and Position | Amy J Backus (TREASURER) |
Authorized Official Contact | 4194761484 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David R. Backus Dds, Inc. 4720 Jackman Rd Suite A Toledo OH 43612-2077 Ph: (419) 476-1484 | David R. Backus Dds, Inc. 4720 Jackman Rd Suite A Toledo OH 43612-2077 Ph: (419) 476-1484 |
NPI Number | 1245691492 |
---|---|
Provider Enumeration Date | 03/16/2016 |
Last Update Date | 03/16/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245691492 | NPI | - | NPPES |
0934181 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0004X | Dentist - Dentist Anesthesiologist | 18187 (Ohio) | Primary |
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