Provider Demographics
NPI:1881798908
Name:JAMES H GILSDORF DDS INC
Entity type:Organization
Organization Name:JAMES H GILSDORF DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:GILSDORF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:740-387-5180
Mailing Address - Street 1:325 MT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-4183
Mailing Address - Country:US
Mailing Address - Phone:740-387-5180
Mailing Address - Fax:740-383-5069
Practice Address - Street 1:325 MT VERNON AVE
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-4183
Practice Address - Country:US
Practice Address - Phone:740-387-5180
Practice Address - Fax:740-383-5069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty