| Gateway Dental Center | |
|
112 Jefferson Ave Suite 002 Columbus OH 43215-1861 | |
| (614) 222-4262 | |
| Not Available |
| Full Name | Gateway Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 112 Jefferson Ave, Columbus, Ohio |
| Authorized Official Name and Position | Amy Lynn Taylor (PRESIDENT OF COMPANY) |
| Authorized Official Contact | 5134603877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Dental Center 112 Jefferson Ave Suite 002 Columbus OH 43215-1861 Ph: (614) 222-4262 | Gateway Dental Center 112 Jefferson Ave Suite 002 Columbus OH 43215-1861 Ph: (614) 222-4262 |
| NPI Number | 1265779532 |
|---|---|
| Provider Enumeration Date | 01/07/2013 |
| Last Update Date | 08/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265779532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30. 02178 (Ohio) | Primary |
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