| Magnolia Dental | |
|
1840 Zollinger Rd Columbus OH 43221-2850 | |
| (614) 457-3927 | |
| (614) 457-0668 |
| Full Name | Magnolia Dental |
|---|---|
| Speciality | Dentist |
| Location | 1840 Zollinger Rd, Columbus, Ohio |
| Authorized Official Name and Position | Bryan Basom (OWNER) |
| Authorized Official Contact | 6144067187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Dental 7870 Olentangy River Rd Ste 205 Columbus OH 43235-1319 Ph: (614) 436-0316 | Magnolia Dental 1840 Zollinger Rd Columbus OH 43221-2850 Ph: (614) 457-3927 |
| NPI Number | 1013427921 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013427921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30.022613 (Ohio) | Primary |
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