| I Am Boundless, Inc. | |
|
445 E Dublin Granville Rd Ste H Worthington OH 43085-3192 | |
| (614) 844-3800 | |
| Not Available |
| Full Name | I Am Boundless, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 445 E Dublin Granville Rd Ste H, Worthington, Ohio |
| Authorized Official Name and Position | Laurie B Hickman (CONTRACTING & CREDENTIALING MANAGER) |
| Authorized Official Contact | 6148443800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I Am Boundless, Inc. 445 E Dublin Granville Rd Ste H Worthington OH 43085-3192 Ph: (614) 844-3800 | I Am Boundless, Inc. 445 E Dublin Granville Rd Ste H Worthington OH 43085-3192 Ph: (614) 844-3800 |
| NPI Number | 1033937156 |
|---|---|
| Provider Enumeration Date | 09/27/2024 |
| Last Update Date | 09/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033937156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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