Provider Demographics
NPI:1912384108
Name:DAVID B UZZEL, DDS, INC.
Entity Type:Organization
Organization Name:DAVID B UZZEL, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CORINNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-426-9998
Mailing Address - Street 1:3567 WENDLETON LN
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45432-2753
Mailing Address - Country:US
Mailing Address - Phone:937-426-9998
Mailing Address - Fax:937-431-3974
Practice Address - Street 1:3567 WENDLETON LN
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45432-2753
Practice Address - Country:US
Practice Address - Phone:937-426-9998
Practice Address - Fax:937-431-3974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH19488122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty