| Olive Branch Dental Columbus | |
|
2459 W Jonathan Moore Pike Columbus IN 47201-9206 | |
| (812) 516-5777 | |
| (812) 531-1177 |
| Full Name | Olive Branch Dental Columbus |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2459 W Jonathan Moore Pike, Columbus, Indiana |
| Authorized Official Name and Position | Srinivas Durshanapali (PRESIDENT) |
| Authorized Official Contact | 2173035955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Dental Columbus 2459 W Jonathan Moore Pike Columbus IN 47201-9206 Ph: (812) 516-5777 | Olive Branch Dental Columbus 2459 W Jonathan Moore Pike Columbus IN 47201-9206 Ph: (812) 516-5777 |
| NPI Number | 1972264398 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 01/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972264398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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