| Small Smiles Dental Center Of West Columbus, Llc | |
|
4666 W Broad St Columbus OH 43228-1611 | |
| (614) 851-0409 | |
| Not Available |
| Full Name | Small Smiles Dental Center Of West Columbus, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4666 W Broad St, Columbus, Ohio |
| Authorized Official Name and Position | Trudy Williams (DIRECTOR, LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6157500342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Small Smiles Dental Center Of West Columbus, Llc 201 W 8th St Suite 810 Pueblo CO 81003-3038 Ph: (719) 562-4447 | Small Smiles Dental Center Of West Columbus, Llc 4666 W Broad St Columbus OH 43228-1611 Ph: (614) 851-0409 |
| NPI Number | 1417136870 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 05/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417136870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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