Provider Demographics
NPI:1699724377
Name:ANGART, JEFFREY L (DMD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:L
Last Name:ANGART
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240B MARKET ST
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-9791
Mailing Address - Country:US
Mailing Address - Phone:614-775-0840
Mailing Address - Fax:
Practice Address - Street 1:240B MARKET ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-9791
Practice Address - Country:US
Practice Address - Phone:614-775-0840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH176271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice