Archbold Family Dental-Brian a Custer DMD LLC

Organization Active NPI General Practice Dentistry · Archbold, OH

NPI 1225548746 · NPPES record last updated Oct 10, 2017

Key facts

NPI
1225548746
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 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
Organization subpart
No

Authorized official

Name
Dr. Brian Allan Custer, DMD
Title
Owner/Dentist
Phone
(419) 445-8176

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

311 W Holland St
Archbold, OH 43502
Phone (419) 445-8176

Specialties & licenses

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

Addresses

Primary practice location

311 W Holland St
Archbold, OH 43502-1125

Mailing address

311 W Holland St
Archbold, OH 43502-1125
Phone (419) 445-8176

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.