Provider Demographics
NPI:1821201773
Name:PRESSLER, ROY DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:DAVID
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 1:640 HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-1622
Mailing Address - Country:US
Mailing Address - Phone:330-336-4162
Mailing Address - Fax:330-335-4063
Practice Address - Street 1:640 HIGH STREET
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-1622
Practice Address - Country:US
Practice Address - Phone:330-336-4162
Practice Address - Fax:330-335-4063
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH147091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice