Individual
DR. JON ROBERT EWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3585 WENDLETON LN, BEAVERCREEK, OH 45432-2753
(937) 426-8083
(937) 426-2181
Mailing address
3585 WENDLETON LN, BEAVERCREEK, OH 45432-2753
(937) 426-8083
(937) 426-2181
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19277
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0854928
—
OH
Enumeration date
08/01/2006
Last updated
07/08/2007
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