| Columbus Smiles Youth Dentistry Llc Michael Crites, Dds | |
|
4655 Morse Centre Rd Columbus OH 43229-6601 | |
| (614) 470-9840 | |
| (614) 470-9841 |
| Full Name | Columbus Smiles Youth Dentistry Llc Michael Crites, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4655 Morse Centre Rd, Columbus, Ohio |
| Authorized Official Name and Position | Jenell Stump (MANAGER, LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6157500343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Smiles Youth Dentistry Llc Michael Crites, Dds 16 Arcade Unit 198747 Nashville TN 37219-1994 Ph: (615) 750-0343 | Columbus Smiles Youth Dentistry Llc Michael Crites, Dds 4655 Morse Centre Rd Columbus OH 43229-6601 Ph: (614) 470-9840 |
| NPI Number | 1922173368 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 07/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922173368 | NPI | - | NPPES |
| 2528205 | Medicaid | OH | |
| 1777426 | Other | OH | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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