DRS. Detwiler & Gannon, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DRS. DETWILER & GANNON, INC.

Practice address

880 Commerce Dr
Suite a
Perrysburg, OH 43551-5240

Phone

(419) 874-3129

Fax

(419) 874-5007

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

James Russell Detwiler, D.D.S.NPI 1487761987

Title

President

Phone

(419) 874-3129

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.

• James Russell Detwiler, D.D.S.

  • General Practice Dentistry
  • Perrysburg, OH
  • NPI 1487761987
  NPD (past) Authorized official
• Lauren Kollar, DDS

  • Dentist
  • Perrysburg, OH
  • NPI 1942611041
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1629185046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 COMMERCE DR",
            "address_2": "SUITE A",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515240",
            "telephone_number": "419-874-3129",
            "fax_number": "419-874-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 COMMERCE DR",
            "address_2": "SUITE A",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515240",
            "telephone_number": "419-874-3129",
            "fax_number": "419-874-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. DETWILER & GANNON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "DETWILER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-874-3129",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lavinia R Dreier
• Aimee Louise Adray Drescher, PH.D.
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• Elischa Dubuisson
• Jamie Dukeshire
• Amy Haaser Dumas, LMT

• General Practice Dentistry in Perrysburg, OH
• Providers in Perrysburg, 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 Sep 10, 2007; 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.