Provider Demographics
NPI:1467599738
Name:MCCOMB FAMILY DENTISTRY, INCORPORATED
Entity Type:Organization
Organization Name:MCCOMB FAMILY DENTISTRY, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:E
Authorized Official - Last Name:DYSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-293-2335
Mailing Address - Street 1:PO BOX 788
Mailing Address - Street 2:
Mailing Address - City:MC COMB
Mailing Address - State:OH
Mailing Address - Zip Code:45858-0788
Mailing Address - Country:US
Mailing Address - Phone:419-293-2335
Mailing Address - Fax:419-293-2512
Practice Address - Street 1:269 S. PARK DR.
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:OH
Practice Address - Zip Code:45858-0788
Practice Address - Country:US
Practice Address - Phone:419-293-2335
Practice Address - Fax:419-293-2512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty