| Dental Faculty Practice Assoc Inc - Paul S. Casamassimo Dds | |
|
305 W 12th Ave Postle Hall Room 4015 Columbus OH 43210-1267 | |
| (614) 292-1472 | |
| (614) 688-3553 |
| Full Name | Dental Faculty Practice Assoc Inc - Paul S. Casamassimo Dds |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 305 W 12th Ave, Columbus, Ohio |
| Authorized Official Name and Position | Linda M Myers (DIRECTOR) |
| Authorized Official Contact | 6142921472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Faculty Practice Assoc Inc - Paul S. Casamassimo Dds 305 W 12th Ave Postle Hall Room 4015 Columbus OH 43210-1267 Ph: (614) 292-1472 | Dental Faculty Practice Assoc Inc - Paul S. Casamassimo Dds 305 W 12th Ave Postle Hall Room 4015 Columbus OH 43210-1267 Ph: (614) 292-1472 |
| NPI Number | 1184005241 |
|---|---|
| Provider Enumeration Date | 06/15/2015 |
| Last Update Date | 06/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184005241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 71.000244 (Ohio) | Primary |
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