| East Columbus Periodontics Llc | |
|
5180 E Main St Columbus OH 43213-2436 | |
| (614) 864-2561 | |
| Not Available |
| Full Name | East Columbus Periodontics Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 5180 E Main St, Columbus, Ohio |
| Authorized Official Name and Position | Jason C Stoner (MEMBER) |
| Authorized Official Contact | 6148898222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Columbus Periodontics Llc 5152 Blazer Pkwy Ste 100 Dublin OH 43017-7323 Ph: (614) 889-8222 | East Columbus Periodontics Llc 5180 E Main St Columbus OH 43213-2436 Ph: (614) 864-2561 |
| NPI Number | 1922610203 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922610203 | NPI | - | NPPES |
| 30020951 | Other | OH | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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