# DENTAL SERVICES OF OHIO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL SERVICES OF OHIO
- **Other names:** ImmediaDent
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053509281
- **Legal business name:** DENTAL SERVICES OF OHIO
- **Authorized official:** AMY WHEELER (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (913) 800-6952

## Contact information

- **Practice address:** 5261 NIKE STATION WAY, HILLIARD, OH 43026-7449
- **Practice address phone:** (614) 771-0066
- **Practice address fax:** (913) 800-6967
- **Mailing address:** PO BOX 11568, OVERLAND PARK, KS 66207-4268
- **Mailing address phone:** (913) 428-1674
- **Mailing address fax:** (913) 800-6967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 261QD0000X | Dental Clinic/Center | 30-022131 | OH | Yes |

## Other

- **Enumeration date:** 10/12/2007
- **Last updated:** 04/12/2017