Andrew S Holpuch DDS, PHD, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

30-024225 Issued in OH

Legal business name

ANDREW S HOLPUCH DDS, PHD, INC

Practice address

8143 Windham St
Garrettsville, OH 44231-1112

Phone

(330) 527-4313

Fax

(330) 527-4314

NPI assigned

Oct 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Stephen Holpuch, D.D.S., PH.D.NPI 1821402900

Title

Officer

Phone

(330) 527-4313

Specialties & licenses 1

Addresses

Other names 1

• Garrettsville Dental Group Doing business as

Locations

Practitioners 2

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

• Andrew S. Holpuch, D.D.S.

  • General Practice Dentistry
  • Newton Falls, OH
  • NPI 1821402900
  NPD (past) Authorized official
• James Gerard Holpuch, D.D.S.

  • General Practice Dentistry
  • Garrettsville, OH
  • NPI 1073685624
  NPD (past)

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1619348653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8143 WINDHAM ST",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442311112",
            "telephone_number": "330-527-4313",
            "fax_number": "330-527-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8143 WINDHAM ST",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442311112",
            "telephone_number": "330-527-4313",
            "fax_number": "330-527-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW S HOLPUCH DDS, PHD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "HOLPUCH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "330-527-4313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., PH.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30-024225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garrettsville Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abuse & Trauma Treatment Center for Women
• Jennifer Rae Al-Noubani, RN
• Annette L Andrews, MD
• Timothy A Andrews, O.D.
• Associates Family Foot Care
• Jennifer L Babnik
• John Allan Barnosky, DC

• Dental Clinic/Center in Garrettsville, OH
• Providers in Garrettsville, 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 Oct 16, 2015; 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.