Individual
DR. DAVID K SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1040 TRUMP RD NW, CARROLLTON, OH 44615-9472
(218) 831-3674
Mailing address
1040 TRUMP RD NW, P.O. BOX297, CARROLLTON, OH 44615-9472
(218) 831-3674
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.023400
OH
122300000X
Dentist
5772-015
WI
332B00000X
Durable Medical Equipment & Medical Supplies
30.023400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3149346
—
OH
Enumeration date
05/17/2006
Last updated
08/21/2019
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