Organization
JOHN K BOEDIGHEIMER DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KENNEDY BOEDIGHEIMER DDS (PRESIDENT OF JOHN K BOEDIGHEIMER DD)
(937) 492-9983
Entity
Organization
Contact information
Practice address
1445 N MAIN AVE, SIDNEY, OH 45365-1782
(937) 492-9983
(937) 492-8869
Mailing address
1445 N MAIN AVE, SIDNEY, OH 45365-1782
(937) 492-9983
(937) 492-8869
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14422
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0271496
—
OH
Enumeration date
12/04/2006
Last updated
08/22/2020
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