Bradley M Hengehold, DDS | |
2300 W Broad St, Columbus, OH 43204-3783 | |
(614) 859-1830 | |
(614) 458-1192 |
Full Name | Bradley M Hengehold |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 2300 W Broad St, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093020547 | NPI | - | NPPES |
3060637 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 30023237 (Ohio) | Primary |
Entity Name | Columbus Neighborhood Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578985453 PECOS PAC ID: 3678469129 Enrollment ID: O20140721000618 |
Entity Name | Columbus Neighborhood Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245930809 PECOS PAC ID: 3678469129 Enrollment ID: O20230831003746 |
Mailing Address | Practice Location Address |
---|---|
Bradley M Hengehold, DDS Po Box 16370, Columbus, OH 43216-6370 Ph: (614) 645-5500 | Bradley M Hengehold, DDS 2300 W Broad St, Columbus, OH 43204-3783 Ph: (614) 859-1830 |
Timothy C Hall, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3600 Olentangy River Rd, Suite 500a, Columbus, OH 43214 Phone: 614-451-5201 Fax: 614-451-0160 | |
Shadonna Danielle Coleman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4655 Morse Centre Rd, Columbus, OH 43229 Phone: 614-470-9840 | |
Dr. Katherine Mudd, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 17 N Harding Rd, Columbus, OH 43209 Phone: 614-239-0051 | |
Dr. Connor Colvin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2607 E Main St, Columbus, OH 43209 Phone: 614-237-3781 | |
Travis Daniel Pero, Dentist Medicare: Not Enrolled in Medicare Practice Location: 182 Parkwood Ave, Columbus, OH 43203 Phone: 330-714-7616 | |
Harold Lloyd Voss, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 Old Henderson Rd, Columbus, OH 43220 Phone: 614-262-2400 Fax: 614-545-2180 | |
Dr. Sarah Zarick, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1151 Bethel Rd, Suite 203, Columbus, OH 43220 Phone: 614-451-0341 |