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David R. Backus Dds, Inc.
Dentist Anesthesiologist in Toledo, Ohio
NPI 1245691492

David R. Backus Dds, Inc. is a Dentist Anesthesiologist based in Toledo, OH and is specialized in Dentist Anesthesiologist. David R. Backus Dds, Inc. practices in Toledo, OH. The NPI Number for David R. Backus Dds, Inc. is 1245691492 and holds a License No. 18187 (Ohio).

The current practice location address for David R. Backus Dds, Inc. is 4720 Jackman Rd, Toledo, OH and can be reached out via phone at 419-476-1484 and via fax at 419-476-6914.

Location: 4720 Jackman Rd, Toledo, OH, 43612-2077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245691492
Provider Name
David R. Backus Dds, Inc.
Credential
Provider Entity Type
Organization
Address
4720 Jackman Rd, Toledo, OH, 43612-2077
Phone Number
419-476-1484
Fax Number
419-476-6914
Provider Enumeration Date
03/16/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0934181 05 OH
institution
Provider Business Practice Location Address Details
Address
4720 Jackman Rd
City
Toledo
State
Ohio
Zip
43612-2077
Phone Number
419-476-1484
Fax Number
419-476-6914
person
Provider Business Mailing Address Details
Address
4720 Jackman Rd
City
Toledo
State
Ohio
Zip
43612-2077
Phone Number
419-476-1484
Fax Number
419-476-6914
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
18187 (Ohio)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
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4720 Jackman Rd,
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43612-2030
419-476-1484
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