# PEDIATRIC SLEEP AND NEURO CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PEDIATRIC SLEEP AND NEURO CENTER
- **Other names:** Pediatric Sleep and Neuro Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245780683
- **Legal business name:** PEDIATRIC SLEEP AND NEURO CENTER
- **Authorized official:** DR. SAMUEL DZODZOMENYO MD (OWNER)
- **Authorized official phone:** (614) 446-1820

## Contact information

- **Practice address:** 7811 FLINT RD, COLUMBUS, OH 43235-6420
- **Practice address phone:** (614) 446-1820
- **Mailing address:** 7811 FLINT RD, COLUMBUS, OH 43235-6420
- **Mailing address phone:** (614) 446-1820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | 35.070439 | OH | — |

## Other

- **Enumeration date:** 10/10/2016
- **Last updated:** 03/30/2017