William S. Bricker DDS, Inc.

Organization Active NPI General Practice Dentistry · Antwerp, OH

NPI 1104092931 · NPPES record last updated May 1, 2008

Key facts

NPI
1104092931
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
30012413 (OH)
Legal business name
WILLIAM S. BRICKER DDS, INC.
Practice address
302 S Cleveland Street
Antwerp, OH 45813
Phone
(419) 258-6511
Fax
(419) 399-2884
NPI assigned
May 1, 2008
Organization subpart
No

Authorized official

Name
Dr. William S. Bricker, DDS
Title
President
Phone
(419) 258-6511

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 30012413 OH Yes

Addresses

Primary practice location

302 S Cleveland Street
Antwerp, OH 45813

Mailing address

PO Box 1107
Antwerp, OH 45813-1107
Phone (419) 258-6511

Other identifiers

IdentifierTypeStateIssuer
0974138MedicaidOH

Other providers in Antwerp, OH

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

Sources for this page

Verify at the official NPI Registry.