Provider Demographics
NPI:1003816109
Name:VOSS, HAROLD LLOYD (DDS)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:LLOYD
Last Name:VOSS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 OLD HENDERSON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-3702
Mailing Address - Country:US
Mailing Address - Phone:614-262-2400
Mailing Address - Fax:614-545-2180
Practice Address - Street 1:1000 OLD HENDERSON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-3702
Practice Address - Country:US
Practice Address - Phone:614-262-2400
Practice Address - Fax:614-545-2180
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH13775122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist