Provider Demographics
NPI:1306860689
Name:ARMBRUSTER, TOD LEWIS (DDS)
Entity Type:Individual
Prefix:
First Name:TOD
Middle Name:LEWIS
Last Name:ARMBRUSTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 W WAYNE ST
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-2151
Mailing Address - Country:US
Mailing Address - Phone:419-893-4141
Mailing Address - Fax:419-893-3534
Practice Address - Street 1:122 W WAYNE ST
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-2151
Practice Address - Country:US
Practice Address - Phone:419-893-4141
Practice Address - Fax:419-893-3534
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300161651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice