| Columbus Pediatric Dentistry, P.c. | |
|
3158 N National Rd Columbus IN 47201-3170 | |
| (812) 376-0166 | |
| Not Available |
| Full Name | Columbus Pediatric Dentistry, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3158 N National Rd, Columbus, Indiana |
| Authorized Official Name and Position | Marvin V Pavlov (C.E.O.) |
| Authorized Official Contact | 8123760166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Pediatric Dentistry, P.c. 3158 N National Rd Columbus IN 47201-3170 Ph: (812) 376-0166 | Columbus Pediatric Dentistry, P.c. 3158 N National Rd Columbus IN 47201-3170 Ph: (812) 376-0166 |
| NPI Number | 1326254111 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326254111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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