| Primehealth Of Ohio Llc | |
|
20 S 3rd St Ste 210 Columbus OH 43215-4206 | |
| (844) 882-3127 | |
| Not Available |
| Full Name | Primehealth Of Ohio Llc |
|---|---|
| Speciality | Dentist |
| Location | 20 S 3rd St Ste 210, Columbus, Ohio |
| Authorized Official Name and Position | Pamela B Devault (DELEGATED OFFICIAL) |
| Authorized Official Contact | 2246325613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primehealth Of Ohio Llc 2100 E Lake Cook Rd Ste 1000 Buffalo Grove IL 60089-1999 Ph: () - | Primehealth Of Ohio Llc 20 S 3rd St Ste 210 Columbus OH 43215-4206 Ph: (844) 882-3127 |
| NPI Number | 1447732961 |
|---|---|
| Provider Enumeration Date | 08/31/2018 |
| Last Update Date | 08/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447732961 | NPI | - | NPPES |
| 0180374 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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