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656 High Street Worthington OH 43085-4156 | |
| (614) 885-6698 | |
| (614) 433-7952 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 656 High Street, Worthington, Ohio |
| Authorized Official Name and Position | Timothy Edwin Moats (PRESIDENT) |
| Authorized Official Contact | 6148856698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
656 High Street Worthington OH 43085-4156 Ph: (614) 885-6698 | 656 High Street Worthington OH 43085-4156 Ph: (614) 885-6698 |
| NPI Number | 1881754299 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881754299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19301 (Ohio) | Primary |
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