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3545 Olentangy River Rd Ste 125 Columbus OH 43214-3996 | |
| (614) 267-0385 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3545 Olentangy River Rd Ste 125, Columbus, Ohio |
| Authorized Official Name and Position | Jonathan Travis Williams (PRESIDENT) |
| Authorized Official Contact | 2162699833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
40 Ashbourne Dr Westlake OH 44145-8122 Ph: () - | 3545 Olentangy River Rd Ste 125 Columbus OH 43214-3996 Ph: (614) 267-0385 |
| NPI Number | 1457871410 |
|---|---|
| Provider Enumeration Date | 06/21/2017 |
| Last Update Date | 02/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457871410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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