Healthcare Provider Details

I. General information

NPI: 1245481316
Provider Name (Legal Business Name): ALFRED CHARLES UVEGES II DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 CAMPBELL ST
SANDUSKY OH
44870-7242
US

IV. Provider business mailing address

2615 CAMPBELL ST
SANDUSKY OH
44870-7242
US

V. Phone/Fax

Practice location:
  • Phone: 419-626-8411
  • Fax: 419-626-1964
Mailing address:
  • Phone: 419-626-8411
  • Fax: 419-626-1964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number19200
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: