| Gateway Dental Columbus Llc | |
|
2459 W Jonathan Moore Pike Columbus IN 47201-9206 | |
| (812) 669-0123 | |
| Not Available |
| Full Name | Gateway Dental Columbus Llc |
|---|---|
| Speciality | Dentist |
| Location | 2459 W Jonathan Moore Pike, Columbus, Indiana |
| Authorized Official Name and Position | Aaron Wayne Strickland (OWNER/PRESIDENT) |
| Authorized Official Contact | 8126690123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Dental Columbus Llc 2459 W Jonathan Moore Pike Columbus IN 47201-9206 Ph: (812) 669-0123 | Gateway Dental Columbus Llc 2459 W Jonathan Moore Pike Columbus IN 47201-9206 Ph: (812) 669-0123 |
| NPI Number | 1891203055 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 01/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891203055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12010768A (Indiana) | Primary |
| 1223E0200X | Dentist - Endodontics | (Indiana) | Secondary |
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