Provider Demographics
NPI:1386765246
Name:DEFILIPPO-QADRI, BETTY JANE (DDS)
Entity type:Individual
Prefix:DR
First Name:BETTY
Middle Name:JANE
Last Name:DEFILIPPO-QADRI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:BETTY
Other - Middle Name:JANE
Other - Last Name:QADRI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:41 EAST MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236
Mailing Address - Country:US
Mailing Address - Phone:330-655-2916
Mailing Address - Fax:330-650-9846
Practice Address - Street 1:41 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236
Practice Address - Country:US
Practice Address - Phone:330-655-2916
Practice Address - Fax:330-650-9846
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH198271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice