Custer, Dennis J.
Custer, Dennis J. is an sole proprietor health care provider with primary practice located at 511 Lee Lore Dr , Chippewa Lake OH 44215-9722. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Custer, Dennis J. can be contacted via phone (330) 769-3554.Contact Information
Primary practice address
511 Lee Lore Dr
Chippewa Lake OH 44215-9722
Phone: (330) 769-3554
Fax: (330) 769-2026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 00117781 | Ohio |
Profile Details
| NPI number | 1487727244 |
|---|---|
| LBN Legal business name | Custer, Dennis J. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487727244 | NPPES |
| Ohio | MEDICAID | 0572518 |
Popular Providers
-
Tietz, Ryan William
744 Ryan Dr , Hudson WI 54016-7979 -
Donoway, Mark Allwin
8128 Renaissance Pkwy , Durham NC 27713-6695 -
Pyke, John Secrest
33399 Walker Rd Suite D, Avon Lake OH 44012 -
Kuemerle, Glenn Joseph
33398 Walker Rd Suite A, Avon Lake OH 44012-1496 -
Mandalia, Vinodkumar H
826 Bustleton Pike Suite 105, Feasterville PA 19053-6064 -
Sanai, Nima
1514 W Devon Ave , Chicago IL 60660-1314 -
Tomic, Beth
48Th Mdg/ Raf Lakenheath Unit 5115, Apo AE 09461-5115 -
Demorest, John Warren
33 E Grass Valley St , Colfax CA 95713-1659