| Tmj Sleep Ohio Llc | |
|
770 Jasonway Ave Columbus OH 43214-4333 | |
| (614) 378-7775 | |
| Not Available |
| Full Name | Tmj Sleep Ohio Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 770 Jasonway Ave, Columbus, Ohio |
| Authorized Official Name and Position | Richard Bowen (OWNER) |
| Authorized Official Contact | 6143787775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmj Sleep Ohio Llc 770 Jasonway Ave Columbus OH 43214-4333 Ph: (614) 378-7775 | Tmj Sleep Ohio Llc 770 Jasonway Ave Columbus OH 43214-4333 Ph: (614) 378-7775 |
| NPI Number | 1568244929 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 10/19/2023 |
| Medicare PECOS PAC ID | 6507215977 |
|---|---|
| Medicare Enrollment ID | O20231211001295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568244929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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