# OLLOM DDS DELAWARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pure Smiles Delaware
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316535479
- **Authorized official:** MRS. JANE ANN CAMPBELL (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (567) 940-8141

## Contact information

- **Practice address:** 833 W WILLIAM ST, DELAWARE, OH 43015-3754
- **Practice address phone:** (740) 362-1591
- **Practice address fax:** (740) 363-0061
- **Mailing address:** 2115 ALLENTOWN RD STE C, LIMA, OH 45805-1749
- **Mailing address phone:** (419) 228-4036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2021
- **Last updated:** 10/20/2021