Provider Demographics
NPI:1982774022
Name:ASHFORD, HELEN JEAN (RN, DDS)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:JEAN
Last Name:ASHFORD
Suffix:
Gender:F
Credentials:RN, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 DRUGAN CT SW
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-8181
Mailing Address - Country:US
Mailing Address - Phone:614-577-0961
Mailing Address - Fax:614-864-7560
Practice Address - Street 1:6415 E LIVINGSTON AVE
Practice Address - Street 2:SUITE F
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-3563
Practice Address - Country:US
Practice Address - Phone:614-866-2656
Practice Address - Fax:614-864-7560
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0205891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice