| Judis Alumcreek Dental | |
|
4016 Alum Creek Dr Columbus OH 43207-5137 | |
| (614) 409-9404 | |
| (614) 409-2992 |
| Full Name | Judis Alumcreek Dental |
|---|---|
| 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 Alumcreek Dental 4016 Alum Creek Dr Columbus OH 43207-5137 Ph: (614) 409-9404 | Judis Alumcreek Dental 4016 Alum Creek Dr Columbus OH 43207-5137 Ph: (614) 409-9404 |
| NPI Number | 1093097495 |
|---|---|
| Provider Enumeration Date | 09/13/2011 |
| Last Update Date | 09/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093097495 | NPI | - | NPPES |
| 2039305 | Medicaid | OH | |
| 2940894 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19680 (Ohio) | Primary |
| 122300000X | Dentist | 022588 (Ohio) | Secondary |
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