Provider Demographics
NPI:1417086349
Name:ARMSTRONG, EARL (DDS)
Entity Type:Individual
Prefix:DR
First Name:EARL
Middle Name:
Last Name:ARMSTRONG
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 1:3536 GLENDALE AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-3454
Mailing Address - Country:US
Mailing Address - Phone:419-380-8094
Mailing Address - Fax:419-380-8114
Practice Address - Street 1:3536 GLENDALE AVE
Practice Address - Street 2:SUITE E
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-3454
Practice Address - Country:US
Practice Address - Phone:419-380-8094
Practice Address - Fax:419-380-8114
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0179211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0598027Medicaid