Provider Demographics
NPI:1750917951
Name:DENTAL HEALTH ASSOCIATES OF WHITEHOUSE
Entity type:Organization
Organization Name:DENTAL HEALTH ASSOCIATES OF WHITEHOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:MARSHALL
Authorized Official - Last Name:HUNTZINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-877-0382
Mailing Address - Street 1:P.O. BOX 2488
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43571
Mailing Address - Country:US
Mailing Address - Phone:419-877-0382
Mailing Address - Fax:419-877-8066
Practice Address - Street 1:5934 FINZEL ROAD
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:OH
Practice Address - Zip Code:43571
Practice Address - Country:US
Practice Address - Phone:419-877-0382
Practice Address - Fax:419-877-8066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty