Provider Demographics
NPI:1053382820
Name:TOOLIS, EDWARD SEARS (DDS)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:SEARS
Last Name:TOOLIS
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 1:116 EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:LISBON
Mailing Address - State:OH
Mailing Address - Zip Code:44432-1402
Mailing Address - Country:US
Mailing Address - Phone:330-424-9024
Mailing Address - Fax:330-424-5999
Practice Address - Street 1:116 EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:OH
Practice Address - Zip Code:44432-1402
Practice Address - Country:US
Practice Address - Phone:330-424-9024
Practice Address - Fax:330-424-5999
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0161201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice