Healthcare Provider Details

I. General information

NPI: 1255381349
Provider Name (Legal Business Name): EDWARD J BABEY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 07/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 STERN RD
SEAMAN OH
45679-9607
US

IV. Provider business mailing address

5400 DUPONT CIR SUITE A
MILFORD OH
45150-2793
US

V. Phone/Fax

Practice location:
  • Phone: 937-386-1379
  • Fax: 937-386-0129
Mailing address:
  • Phone: 513-576-7700
  • Fax: 513-576-1020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number301-01-3832
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: