| Greater Columbus Periodontics, Llc, Ryan J. Serra, Dmd, Ms | |
|
1914 Bethel Rd Columbus OH 43220-1802 | |
| (614) 451-1122 | |
| Not Available |
| Full Name | Greater Columbus Periodontics, Llc, Ryan J. Serra, Dmd, Ms |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1914 Bethel Rd, Columbus, Ohio |
| Authorized Official Name and Position | Ryan Serra (MEMBER) |
| Authorized Official Contact | 6144511122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Columbus Periodontics, Llc, Ryan J. Serra, Dmd, Ms 1914 Bethel Rd Columbus OH 43220-1802 Ph: (614) 451-1122 | Greater Columbus Periodontics, Llc, Ryan J. Serra, Dmd, Ms 1914 Bethel Rd Columbus OH 43220-1802 Ph: (614) 451-1122 |
| NPI Number | 1184958225 |
|---|---|
| Provider Enumeration Date | 09/22/2009 |
| Last Update Date | 09/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184958225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 023093 (Ohio) | Primary |
| 1223P0300X | Dentist - Periodontics | 014666 (Ohio) | Secondary |
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