Organization
J. DOUGLAS PAULUS D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON DOUGLAS PAULUS D.D.S. (PRESIDENT/CEO)
(330) 833-4746
Entity
Organization
Contact information
Practice address
711 LINCOLN WAY E, MASSILLON, OH 44646-6829
(330) 833-4746
(330) 832-9928
Mailing address
711 LINCOLN WAY E, MASSILLON, OH 44646-6829
(330) 833-4746
(330) 832-9928
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3001447
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-01447
OHIO STATE DENTAL LICENSE
OH
Enumeration date
10/23/2006
Last updated
08/22/2020
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