Doctor Name: | STEPHEN BADILLO ONDREY |
NPI Number: | 1144435181 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. |
License Number: | 2593 |
Business Practice Address: | 2695 Maysville Pike Zanesville, OH - 437018575 |
Business Phone Number: | 7404523697 |
Business Fax Number: | 7404529211 |
Mailing Address: | 5489 Welbourne Pl, NEW ALBANY |
State: | OH |
Postal Code: | 430546023 |
Phone Number: | 6144039316 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2007 |
NPI Last Update Date: | 03/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 2593 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |