Johnathan Britsch, DDS

Individual provider Active NPI General Practice Dentistry · Archbold, OH

NPI 1053976852 · NPPES record last updated May 7, 2019

Key facts

NPI
1053976852
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
30.025722 (OH)
Practice address
804 Stryker St
Archbold, OH 43502-1039
Phone
(419) 446-2743
NPI assigned
May 7, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
30.025722OHMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.025722 OH Yes

Addresses

Primary practice location

804 Stryker St
Archbold, OH 43502-1039

Mailing address

7228 Copperwood LN
Sylvania, OH 43560-1336

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address britsch.5@osu.edu

Other providers in Archbold, OH

All providers in Archbold, OH · General Practice Dentistry in Ohio

Sources for this page

Verify at the official NPI Registry.