Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL E. HUDOBA, DDS
ActiveDR. RUSSELL E. HUDOBA, DDS is a Periodontology healthcare provider located in CANFIELD, Ohio. NPI 1891790713 is currently active in the NPPES registry. Verify at CMS.
Periodontology · CANFIELD, OH
Registration Details
- NPI Number
- 1891790713
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2005 (21.203021299114 yrs)
- Last Updated
- Jul 8, 2007
- License
-
16625 (OH)
Practice Information
- Address
-
6674 TIPPECANOE RDSTE 5CANFIELD, OH, 444069149Browse OH providers · Browse ZIP 44406
- Phone
- 3305330600
- Fax
- 3307021215
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.