Provider Demographics
NPI:1851682645
Name:DR. DAVID D STARR LLC
Entity type:Organization
Organization Name:DR. DAVID D STARR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:D
Authorized Official - Last Name:STARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-543-3223
Mailing Address - Street 1:313 CANAL AVE SE
Mailing Address - Street 2:B
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-2359
Mailing Address - Country:US
Mailing Address - Phone:330-339-8888
Mailing Address - Fax:
Practice Address - Street 1:313 CANAL AVE SE
Practice Address - Street 2:B
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-2359
Practice Address - Country:US
Practice Address - Phone:330-339-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH127761223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty