Provider Demographics
NPI:1083253801
Name:ASHLEY GIBBS ZERWECK DMD INC.
Entity Type:Organization
Organization Name:ASHLEY GIBBS ZERWECK DMD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:GIBBS
Authorized Official - Last Name:ZERWECK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:330-904-7926
Mailing Address - Street 1:4124 FULTON DR NW STE 102
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2852
Mailing Address - Country:US
Mailing Address - Phone:330-493-4700
Mailing Address - Fax:330-493-8529
Practice Address - Street 1:4124 FULTON DR NW STE 102
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2852
Practice Address - Country:US
Practice Address - Phone:330-493-4700
Practice Address - Fax:330-493-8529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-26
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty