| J. Douglas Paulus D.d.s. Inc. | |
|
711 Lincoln Way E Massillon OH 44646-6829 | |
| (330) 833-4746 | |
| (330) 832-9928 |
| Full Name | J. Douglas Paulus D.d.s. Inc. |
|---|---|
| Speciality | Dentist |
| Location | 711 Lincoln Way E, Massillon, Ohio |
| Authorized Official Name and Position | Jon Douglas Paulus (PRESIDENT/CEO) |
| Authorized Official Contact | 3308334746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Douglas Paulus D.d.s. Inc. 711 Lincoln Way E Massillon OH 44646-6829 Ph: (330) 833-4746 | J. Douglas Paulus D.d.s. Inc. 711 Lincoln Way E Massillon OH 44646-6829 Ph: (330) 833-4746 |
| NPI Number | 1457434755 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457434755 | NPI | - | NPPES |
| 30-01447 | Other | OH | OHIO STATE DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3001447 (Ohio) | Primary |
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