Joseph Gordon Gundler, D.D.S.
Individual provider Active NPI General Practice Dentistry · Blanchester, OH
NPI 1821187808 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821187808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30.020477 (OH)
- Practice address
- 615 West Main Street
Blanchester, OH 45107 - Phone
- (937) 783-5505
- Fax
- (937) 783-5451
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.020477 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jody Gundler DDS Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.020477 | OH | Yes |
Addresses
Primary practice location
615 West Main Street
Blanchester, OH 45107
Mailing address
291 Heritage Ridge Rd
Blanchester, OH 45107-8353
Phone (937) 783-2594
Other names
- Jody Gundler
Other providers in Blanchester, OH
- Geriatric Practice LLC
- Melissa Girard
- Pamela Glorius
- Joann Louise Gregory
- Stephanie Ann Greis
- Kristina Marie Gundler
- Healthsource of Ohio, Inc.
- Healthsource of Ohio, Inc.
- Mandi Hill
- Stephanie Hopkins
All providers in Blanchester, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.