# OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477023034
- **Authorized official:** DR. SONYA KALIM (CLINICAL ASSISTANT PROFESSOR)
- **Authorized official phone:** (614) 247-8497

## Contact information

- **Practice address:** 305 WEST 12TH AVENUE, COLUMBUS, OH 43210
- **Practice address phone:** (614) 247-8497
- **Mailing address:** 305 WEST 12TH AVENUE, COLUMBUS, OH 43210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | — | NULL | Yes |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/27/2018
- **Last updated:** 11/27/2018