Archbold Family Dental-Brian a Custer DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ARCHBOLD FAMILY DENTAL-BRIAN A CUSTER DMD LLC

Practice address

311 W Holland St
Archbold, OH 43502-1125

Phone

(419) 445-8176

Fax

(419) 445-8177

NPI assigned

Oct 10, 2017

Last updated

Oct 10, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Allan Custer, DMDNPI 1013322718

Title

Owner/Dentist

Phone

(419) 445-8176

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Allan Custer, D.M.D.

  • Student in an Organized Health Care Education/Training Program
  • Toledo, OH
  • NPI 1013322718
  NPD Authorized official
• Paul G Wyse, DDS

  • General Practice Dentistry
  • Archbold, OH
  • NPI 1285773424
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1225548746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W HOLLAND ST",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435021125",
            "telephone_number": "419-445-8176",
            "fax_number": "419-445-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W HOLLAND ST",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435021125",
            "telephone_number": "419-445-8176",
            "fax_number": "419-445-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHBOLD FAMILY DENTAL-BRIAN A CUSTER DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "CUSTER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "419-445-8176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Amspoker
• Archbold Area Local School District
• Archbold Eye Care LLC
• Archbold Physical Therapy Services, Inc.
• Melissa Avina, LISW-SUPV
• Back & Body Chiropractic LLC
• Emily Bagrowski, LSW
• Amy Jo Bauerle

• General Practice Dentistry in Archbold, OH
• Providers in Archbold, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.