Donald John Novotny, D.D.S.
Individual provider Active NPI General Practice Dentistry · Huron, OH
NPI 1841208337 · NPPES record last updated Aug 6, 2008
Key facts
- NPI
- 1841208337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30015787 (OH)
- Practice address
- 3307 Cleveland Rd W
Huron, OH 44839-1021 - Phone
- (419) 433-5013
- Fax
- (419) 433-5934
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 30015787 | OH | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30015787 | OH | Yes |
Addresses
Primary practice location
3307 Cleveland Rd W
Huron, OH 44839-1021
Mailing address
203 Perry Ave
Huron, OH 44839-1432
Phone (419) 433-5135
Other providers in Huron, OH
- MD Imaging LLC
- Nichole L Michel
- David G. Miller
- Mary H Murphy
- Mark Allen Myers
- Allison D Ontko
- Kyah Patterson
- Mary Anne Pfrogner
- Violet Piskur
- Alexandra Day Prosser
All providers in Huron, 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 Aug 6, 2008. 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.