MEDICARE: DR. EDWARD FRANCIS POSLUSZNY DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	16881	OH

General Provider Information

NPI Number	:	1881693042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD FRANCIS POSLUSZNY DDS

Provider Business Mailing Address
First Line	:	106 ROCKLEDGE DR
Second Line	:
City	:	PERRYSBURG
State	:	OH
Zip	:	43551-2746
Country	:	US
Telephone Number	:	419-874-3776
Fax Number	:	419-475-8472

Provider Business Practice Location Address
First Line	:	4841 MONROE ST
Second Line	:	SUITE 260
City	:	TOLEDO
State	:	OH
Zip	:	43623-4385
Country	:	US
Telephone Number	:	419-475-6554
Fax Number	:	419-475-8472

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	07/08/2007

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