Organization
DAVID R. BACKUS DDS, INC.
Active
Organization
DAVID R. BACKUS DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY J BACKUS (TREASURER)
(419) 476-1484
Entity
Organization
Contact information
Practice address
4720 JACKMAN RD, SUITE A, TOLEDO, OH 43612-2077
(419) 476-1484
(419) 476-6914
Mailing address
4720 JACKMAN RD, SUITE A, TOLEDO, OH 43612-2077
(419) 476-1484
(419) 476-6914
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
18187
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0934181
—
OH
Enumeration date
03/16/2016
Last updated
03/16/2016
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