| Osu Observation Medicine Svs Dental | |
|
410 W 10th Ave Columbus OH 43210-1240 | |
| (614) 293-8487 | |
| (614) 293-8153 |
| Full Name | Osu Observation Medicine Svs Dental |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 410 W 10th Ave, Columbus, Ohio |
| Authorized Official Name and Position | Ann K Moeller (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 6142935288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osu Observation Medicine Svs Dental 700 Ackerman Rd Ste 2120 Columbus OH 43202-1559 Ph: (614) 293-2046 | Osu Observation Medicine Svs Dental 410 W 10th Ave Columbus OH 43210-1240 Ph: (614) 293-8487 |
| NPI Number | 1386391456 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 05/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386391456 | NPI | - | NPPES |
| 0486983 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
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