Gilbert Russell Backus Jr., DDS

Dentist · Boardman, OH

Individual Active NPI

NPI number 1063572162

Practice location

810 Boardman Canfield Rd
Boardman, OH 44512-4200
Phone
(330) 758-7931

Open in Google Maps

NPI record

NPI
1063572162
Entity type
Individual (Type 1)
Enumeration date
December 11, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 30013429 OH

About Dr. Backus

Gilbert Russell Backus Jr., DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 810 Boardman Canfield Rd, Boardman, OH 44512-4200. The NPI number 1063572162 was assigned on December 11, 2006 and the record was last updated on July 8, 2007.

Dr. Backus lists a license in the registry: #30013429 (OH) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gilbert Russell Backus Jr., DDS?

The NPI number is 1063572162.

What is the phone number of Dr. Backus?

The phone number listed for the practice location is (330) 758-7931.

Where is Dr. Backus located?

810 Boardman Canfield Rd, Boardman, OH 44512-4200.

What is the taxonomy code for Dr. Backus?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Boardman

All Dentist providers in Boardman, OH →