Healthcare Provider Details

I. General information

NPI: 1801845466
Provider Name (Legal Business Name): JOSEPH J BAYTOSH DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 S STATE ST
GIRARD OH
44420-2947
US

IV. Provider business mailing address

6457 TARA DR
POLAND OH
44514-5608
US

V. Phone/Fax

Practice location:
  • Phone: 330-545-9120
  • Fax: 330-545-9160
Mailing address:
  • Phone: 330-757-0506
  • Fax: 330-545-9160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number18479
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: