| Central Ohio Tmjd & Dental Sleep Therapy Llc | |
|
149 W Schrock Rd Westerville OH 43081-2831 | |
| (614) 890-1571 | |
| (614) 890-4518 |
| Full Name | Central Ohio Tmjd & Dental Sleep Therapy Llc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 149 W Schrock Rd, Westerville, Ohio |
| Authorized Official Name and Position | Michael J Bezbatchenko (OWNER/DENTIST) |
| Authorized Official Contact | 6148901571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Ohio Tmjd & Dental Sleep Therapy Llc 149 W Schrock Rd Westerville OH 43081-2831 Ph: (614) 890-1571 | Central Ohio Tmjd & Dental Sleep Therapy Llc 149 W Schrock Rd Westerville OH 43081-2831 Ph: (614) 890-1571 |
| NPI Number | 1952647828 |
|---|---|
| Provider Enumeration Date | 12/21/2012 |
| Last Update Date | 11/16/2016 |
| Medicare PECOS PAC ID | 4284870700 |
|---|---|
| Medicare Enrollment ID | O20130429000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952647828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15998 (Ohio) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
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