Provider Demographics
NPI:1730202292
Name:LABEDA, BARTOSZ ADAM (DDS)
Entity type:Individual
Prefix:DR
First Name:BARTOSZ
Middle Name:ADAM
Last Name:LABEDA
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 1:4553 ELMONT DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-1008
Mailing Address - Country:US
Mailing Address - Phone:513-528-9553
Mailing Address - Fax:513-528-9561
Practice Address - Street 1:4553 ELMONT DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1008
Practice Address - Country:US
Practice Address - Phone:513-528-9553
Practice Address - Fax:513-528-9561
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0223291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice