Provider Demographics
NPI:1497974638
Name:SLABACH, DAWNE E (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAWNE
Middle Name:E
Last Name:SLABACH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 S SUNBURY RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081
Mailing Address - Country:US
Mailing Address - Phone:614-901-8338
Mailing Address - Fax:614-901-9371
Practice Address - Street 1:135 S SUNBURY RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081
Practice Address - Country:US
Practice Address - Phone:614-901-8338
Practice Address - Fax:614-901-9371
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-01-8866122300000X
OH30-018866122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist