| Capital Oral Pathology, Llc | |
|
3535 Fishinger Blvd Ste 262 Hilliard OH 43026-7570 | |
| (614) 503-0745 | |
| Not Available |
| Full Name | Capital Oral Pathology, Llc |
|---|---|
| Speciality | Dentist |
| Location | 3535 Fishinger Blvd Ste 262, Hilliard, Ohio |
| Authorized Official Name and Position | Caroline M Michaels (OWNER) |
| Authorized Official Contact | 4408212106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Oral Pathology, Llc 3535 Fishinger Blvd Ste 262 Hilliard OH 43026-7570 Ph: (614) 503-0745 | Capital Oral Pathology, Llc 3535 Fishinger Blvd Ste 262 Hilliard OH 43026-7570 Ph: (614) 503-0745 |
| NPI Number | 1659067684 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 06/28/2023 |
| Medicare PECOS PAC ID | 2163883034 |
|---|---|
| Medicare Enrollment ID | O20230726000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659067684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
| Provider Name | Caroline Marie Michaels |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528553302 PECOS PAC ID: 1759750003 Enrollment ID: I20221208003205 |
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