Organization
GARY A. DEBEVOISE,D.D.S.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALLEN DEBEVOISE D.D.S. (PRESIDENT)
(740) 522-3161
Entity
Organization
Contact information
Practice address
30 CUSTER RD, HEATH, OH 43056-1312
(740) 522-3161
(740) 522-8490
Mailing address
30 CUSTER RD, HEATH, OH 43056-1312
(740) 522-3161
(740) 522-8490
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30-014354
OH
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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