Provider Demographics
NPI:1356365415
Name:FILUTZE, JOHN P (DDS)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:FILUTZE
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 1:3933 LANE RD
Mailing Address - Street 2:
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-4902
Mailing Address - Country:US
Mailing Address - Phone:440-639-2273
Mailing Address - Fax:440-357-1646
Practice Address - Street 1:3933 LANE ROAD
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:OH
Practice Address - Zip Code:44081
Practice Address - Country:US
Practice Address - Phone:440-639-2273
Practice Address - Fax:440-357-1646
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2021-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0-203791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice