Basic Information
| Provider Information | |||||||||
| NPI: | 1275628026 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | OAKWOOD DENTAL - ATTILA Z NAGY DDS & MICHELLE C NAGY DDS LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | ATTILA Z NAGY MICHELLE C NAGY DDS | ||||||||
| OtherOrganizationType: | 4 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 823 S SANDUSKY AVE | ||||||||
| Address2: | |||||||||
| City: | BUCYRUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 448202633 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4195624378 | ||||||||
| FaxNumber: | 4195625386 | ||||||||
| Practice Location | |||||||||
| Address1: | 823 S SANDUSKY AVE | ||||||||
| Address2: | |||||||||
| City: | BUCYRUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 448202633 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4195624378 | ||||||||
| FaxNumber: | 4195625386 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2006 | ||||||||
| LastUpdateDate: | 11/06/2017 | ||||||||
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| AuthorizedOfficialLastName: | NAGY | ||||||||
| AuthorizedOfficialFirstName: | ATTILA | ||||||||
| AuthorizedOfficialMiddleName: | Z | ||||||||
| AuthorizedOfficialTitleorPosition: | GENERAL DENTIST | ||||||||
| AuthorizedOfficialTelephone: | 4195624378 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 30021812 | OH | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Dental Providers | Dentist | 122300000X | 30022189 | OH | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Dental Providers | Dentist |
No ID Information.