| Dental Clinic College Of Dentistry | |
|
305 W 12th Ave Room 1130 Postle Hall Columbus OH 43210-1267 | |
| (614) 292-6983 | |
| (614) 688-3671 |
| Full Name | Dental Clinic College Of Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 305 W 12th Ave, Columbus, Ohio |
| Authorized Official Name and Position | Henry Fischbach (ASSISTANT DEAN) |
| Authorized Official Contact | 6142920050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Clinic College Of Dentistry 305 W 12th Ave Room 1130 Postle Hall Columbus OH 43210-1267 Ph: (614) 292-6983 | Dental Clinic College Of Dentistry 305 W 12th Ave Room 1130 Postle Hall Columbus OH 43210-1267 Ph: (614) 292-6983 |
| NPI Number | 1871608380 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 09/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871608380 | NPI | - | NPPES |
| 2412535+0098193 | Other | OH | BCMH GENERAL COLLEGE |
| 316025986028 | Other | OH | CARESOURCE |
| 2414024+0098193 | Other | OH | BCMH ORTHODONTICS COLLEGE |
| 88300 | Other | OH | DELTA DENTAL |
| 0098193 | Medicaid | OH | |
| 54350690400 | Other | OH | BUREAU OF WORKMAN'S COMP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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