Provider Demographics
NPI:1881155471
Name:JOHN T WEBSTER, DDS, INC.
Entity type:Organization
Organization Name:JOHN T WEBSTER, DDS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:WEBSTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-937-8550
Mailing Address - Street 1:36701 AMERICAN WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-4064
Mailing Address - Country:US
Mailing Address - Phone:440-378-5509
Mailing Address - Fax:440-937-8559
Practice Address - Street 1:36701 AMERICAN WAY STE 1
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-4064
Practice Address - Country:US
Practice Address - Phone:440-378-5509
Practice Address - Fax:440-937-8559
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOHN T WEBSTER, DDS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-27
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental