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ARCHBOLD FAMILY DENTAL-BRIAN A CUSTER DMD LLC
NPI 1225548746
Dentist - General Practice in Archbold, OH

Active since October 10, 2017
311 W HOLLAND ST, ARCHBOLD, OH 43502(419) 445-8176(419) 445-8177 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Archbold Family Dental-brian A Custer Dmd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARCHBOLD FAMILY DENTAL-BRIAN A CUSTER DMD LLC (NPI 1225548746) is a healthcare organization registered as a general practice in Archbold, Ohio and active in the NPI registry since October 2017. The organization lists Brian Allan Custer, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1225548746
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameARCHBOLD FAMILY DENTAL-BRIAN A CUSTER DMD LLC
Location Address311 W HOLLAND STArchbold, OH 43502-1125
Mailing Address311 W Holland StArchbold, OH 43502-1125 · (419) 445-8176 · Fax (419) 445-8177
Phone(419) 445-8176
Fax(419) 445-8177
Organization SubpartNo
Authorized OfficialBrian Allan CusterOwner/dentist · (419) 445-8176
Enumeration DateOctober 10, 2017
✔ NPI 1225548746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

311 W HOLLAND ST, Archbold, OH 43502
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0948032

Parkview Archbold Medical Center Laboratory · Archbold, OH
Expired · Feb 27, 2026
CLIA Number36D0948032
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 29, 2024
Certificate Expiration DateFebruary 27, 2026
Laboratory DirectorYi Zhuang
Laboratory Phone(419) 445-4415
Laboratory LocationParkview Archbold Medical Center Laboratory121 Westfield Drive, Archbold, OH 43502
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

DR. PAUL G WYSE DDS
Dentist (General Practice)
311 W HOLLAND ST
ARCHBOLD, OH 43502
Fulton County (419) 445-8176

Frequently Asked Questions

What is ARCHBOLD FAMILY DENTAL-BRIAN A CUSTER DMD LLC's NPI number?

The NPI number assigned to this healthcare provider is 1225548746, enumerated as an "organization" on October 10, 2017.

Where is the provider located?

The provider is located at 311 W HOLLAND ST ARCHBOLD, OH 43502 and the phone number is (419) 445-8176.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.