Organization
DR. TIMOTHY J. BACKIEWICZ, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JAMES BACKIEWICZ D.D.S. (PRESIDENT)
(614) 855-0202
Entity
Organization
Contact information
Practice address
68 N. HIGH ST., BUILDING F, NEW ALBANY, OH 43054
(614) 855-0202
(614) 855-8520
Mailing address
68 N. HIGH ST., BUILDING F, NEW ALBANY, OH 43054
(614) 855-0202
(614) 855-8520
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-019554
OH
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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