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 |
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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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