Provider Demographics
NPI:1851692537
Name:ARMSTRONG FAMILY DENTISTRY, INC
Entity Type:Organization
Organization Name:ARMSTRONG FAMILY DENTISTRY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-380-8094
Mailing Address - Street 1:3536 GLENDALE AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-3454
Mailing Address - Country:US
Mailing Address - Phone:419-380-8094
Mailing Address - Fax:419-380-8114
Practice Address - Street 1:3536 GLENDALE AVE
Practice Address - Street 2:SUITE E
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-3454
Practice Address - Country:US
Practice Address - Phone:419-380-8094
Practice Address - Fax:419-380-8114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300179211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3058917Medicaid