Budendorf, Deric Robert

Budendorf, Deric Robert is an individual health care provider with primary practice located at 1320 Mercy Dr Nw , Canton OH 44708-2614. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Budendorf, Deric Robert can be contacted via phone (330) 471-5950.

Contact Information

Primary practice address
1320 Mercy Dr Nw Canton OH 44708-2614
Phone: (330) 471-5950
Fax: (330) 471-5947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X RES.3313 Ohio
Dental Providers / Dentist 122300000X 30024164 Ohio

Profile Details

NPI number 1952723686
LBN Legal business name Budendorf, Deric Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2014
Last updated Apr 21st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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