# GADDIS FAMILY DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962204453
- **Authorized official:** DR. JOSHUA W GADDIS DDS (OWNER)
- **Authorized official phone:** (740) 684-0302

## Contact information

- **Practice address:** 104 S MAIN ST, BALTIMORE, OH 43105-1426
- **Practice address phone:** (740) 500-4746
- **Mailing address:** 421 NEW ENGLAND HILL RD, SHAWNEE, OH 43782-9736
- **Mailing address phone:** (740) 684-0302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/25/2025
- **Last updated:** 03/25/2025