| Periodontology, Inc. | |
|
3600 Olentangy River Rd Columbus OH 43214-3437 | |
| (614) 451-5201 | |
| (614) 451-0160 |
| Full Name | Periodontology, Inc. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3600 Olentangy River Rd, Columbus, Ohio |
| Authorized Official Name and Position | Christy E Coleman (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6144515201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontology, Inc. 3600 Olentangy River Rd Columbus OH 43214-3437 Ph: (614) 451-5201 | Periodontology, Inc. 3600 Olentangy River Rd Columbus OH 43214-3437 Ph: (614) 451-5201 |
| NPI Number | 1295942910 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295942910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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