Provider Demographics
NPI:1790827079
Name:ANDREW G BABINEC III DDS INC
Entity Type:Organization
Organization Name:ANDREW G BABINEC III DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:BABINEC
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-743-4242
Mailing Address - Street 1:26 MARKET ST
Mailing Address - Street 2:SUITE #907
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44503-1708
Mailing Address - Country:US
Mailing Address - Phone:330-743-4242
Mailing Address - Fax:330-743-8640
Practice Address - Street 1:26 MARKET ST
Practice Address - Street 2:SUITE 907
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44503-1708
Practice Address - Country:US
Practice Address - Phone:330-743-4242
Practice Address - Fax:330-743-8640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30016822122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty