Ollom Community Dental, Llc | |
186 E Broad St Pataskala OH 43062-8527 | |
(740) 739-4111 | |
(740) 739-4007 |
Full Name | Ollom Community Dental, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 186 E Broad St, Pataskala, Ohio |
Authorized Official Name and Position | Carmel Smith (OFFICE MANAGER) |
Authorized Official Contact | 7407394111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ollom Community Dental, Llc 186 E Broad St Pataskala OH 43062-8527 Ph: (740) 739-4111 | Ollom Community Dental, Llc 186 E Broad St Pataskala OH 43062-8527 Ph: (740) 739-4111 |
NPI Number | 1255186607 |
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Provider Enumeration Date | 04/19/2024 |
Last Update Date | 07/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255186607 | NPI | - | NPPES |
327526 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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