| Judis Alum Creek Dental Care | |
|
4016 Alum Creek Dr Columbus OH 43207-5137 | |
| (614) 409-9404 | |
| (614) 409-2992 |
| Full Name | Judis Alum Creek Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 4016 Alum Creek Dr, Columbus, Ohio |
| Authorized Official Name and Position | Gary M Judis (OWNER) |
| Authorized Official Contact | 6144099404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judis Alum Creek Dental Care 4016 Alum Creek Dr Columbus OH 43207-5137 Ph: (614) 409-9404 | Judis Alum Creek Dental Care 4016 Alum Creek Dr Columbus OH 43207-5137 Ph: (614) 409-9404 |
| NPI Number | 1225365901 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 11/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225365901 | NPI | - | NPPES |
| 2039305 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19680 (Ohio) | Primary |
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