Individual
DEAN P. BACKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
450 S. MILLER DR., SUITE 200, SUNBURY, OH 43074-0539
(740) 965-2451
(740) 965-1947
Mailing address
PO BOX 539, 450 S. MILLER DR., STE. 200, SUNBURY, OH 43074-0539
(740) 965-2451
(740) 965-1947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17971
OH
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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