| Columbus Advanced Family Dentistry | |
|
3158 N National Rd Columbus IN 47201-3170 | |
| (812) 603-3996 | |
| (812) 376-0459 |
| Full Name | Columbus Advanced Family Dentistry |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 3158 N National Rd, Columbus, Indiana |
| Authorized Official Name and Position | Marvin Pavlov (CEO) |
| Authorized Official Contact | 8126033996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Advanced Family Dentistry 3158 N National Rd Columbus IN 47201-3170 Ph: (812) 603-3996 | Columbus Advanced Family Dentistry 3158 N National Rd Columbus IN 47201-3170 Ph: (812) 603-3996 |
| NPI Number | 1891137865 |
|---|---|
| Provider Enumeration Date | 07/19/2013 |
| Last Update Date | 07/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891137865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 13003577A (Indiana) | Primary |
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