Healthcare Provider Details

I. General information

NPI: 1831110840
Provider Name (Legal Business Name): ALAN C.GUSCHING DDS MS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 03/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9163 N COUNTY ROAD 25A
PIQUA OH
45356-4524
US

IV. Provider business mailing address

9163 N COUNTY ROAD 25A
PIQUA OH
45356-4524
US

V. Phone/Fax

Practice location:
  • Phone: 937-773-0792
  • Fax: 937-773-7337
Mailing address:
  • Phone: 937-773-0792
  • Fax: 937-773-7337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number16425
License Number StateOH

VIII. Authorized Official

Name: DR. ALAN C GUSCHING
Title or Position: PRESIDENT
Credential: DDS
Phone: 937-773-0792