Individual provider · Type 1 NPI

Russell T. Thaler, DMD, MS

Periodontics · Maumee, OH

NPI number 1215145693 Active

Practice location

5757 Monclova Rd, Suite 12
Maumee, OH 43537-1863

Call (419) 893-0253 Map

Mailing address

9024 Cedar Bend Rd
Sylvania, OH 43560-9394

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X30-023000 (OH)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1215145693

Russell T. Thaler, DMD, MS's National Provider Identifier is 1215145693, issued on May 18, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Maumee, OH. The record was last updated on Nov 30, 2011.