Provider Demographics
NPI:1639251895
Name:PAUL E. STAUBITZ D.D.S. INC.
Entity Type:Organization
Organization Name:PAUL E. STAUBITZ D.D.S. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:STAUBITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-941-6273
Mailing Address - Street 1:7919 HAWKHURST
Mailing Address - Street 2:
Mailing Address - City:CLEVES
Mailing Address - State:OH
Mailing Address - Zip Code:45002-2362
Mailing Address - Country:US
Mailing Address - Phone:513-941-6273
Mailing Address - Fax:513-481-7686
Practice Address - Street 1:5536 MUDDY CREEK RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-2030
Practice Address - Country:US
Practice Address - Phone:513-481-7766
Practice Address - Fax:513-481-7686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-01-44761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty