Provider Demographics
NPI:1336498039
Name:GREGORY E. KINSINGER, D.D.S., INC.
Entity type:Organization
Organization Name:GREGORY E. KINSINGER, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:E
Authorized Official - Last Name:KINSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-866-3507
Mailing Address - Street 1:8373 WAYNESBURG DR SE
Mailing Address - Street 2:
Mailing Address - City:WAYNESBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44688-9538
Mailing Address - Country:US
Mailing Address - Phone:330-866-3507
Mailing Address - Fax:330-866-4370
Practice Address - Street 1:8373 WAYNESBURG DR SE
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:OH
Practice Address - Zip Code:44688-9538
Practice Address - Country:US
Practice Address - Phone:330-866-3507
Practice Address - Fax:330-866-4370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0224041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty