Gary a. Debevoise,D.D.S.,Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

30-014354 Issued in OH

Legal business name

GARY A. DEBEVOISE,D.D.S.,INC.

Practice address

30 Custer Rd
Heath, OH 43056-1312

Phone

(740) 522-3161

Fax

(740) 522-8490

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Allen Debevoise, D.D.S.

Title

President

Phone

(740) 522-3161

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356496236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CUSTER RD",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561312",
            "telephone_number": "740-522-3161",
            "fax_number": "740-522-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CUSTER RD",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561312",
            "telephone_number": "740-522-3161",
            "fax_number": "740-522-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A. DEBEVOISE,D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEBEVOISE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-522-3161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30-014354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Heath, OH
• Providers in Heath, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.