Provider Demographics
NPI:1487851242
Name:PRESSLER, DAVID ALAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALAN
Last Name:PRESSLER
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 1:1684 VENTURE DRIVE
Mailing Address - Street 2:STE C
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-8950
Mailing Address - Country:US
Mailing Address - Phone:740-397-4097
Mailing Address - Fax:740-397-4142
Practice Address - Street 1:1684 VENTURE DRIVE
Practice Address - Street 2:STE C
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-8950
Practice Address - Country:US
Practice Address - Phone:740-397-4097
Practice Address - Fax:740-397-4142
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH174051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0522492Medicaid