Provider Demographics
NPI:1285834036
Name:VOSLER DENTAL
Entity Type:Organization
Organization Name:VOSLER DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:VOSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-866-1151
Mailing Address - Street 1:1223 E CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-3544
Mailing Address - Country:US
Mailing Address - Phone:937-866-1151
Mailing Address - Fax:937-866-2505
Practice Address - Street 1:1223 E CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-3544
Practice Address - Country:US
Practice Address - Phone:937-866-1151
Practice Address - Fax:937-866-2505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH199571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty