Organization
UPPER ARLINGTON - BRYAN BASOM DDS LLC
Active
Other names
Magnolia Dental at Kingsdale, Magnolia Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN BASOM DDS (OWNER)
(614) 406-7187
Entity
Organization
Contact information
Practice address
1840 ZOLLINGER RD, COLUMBUS, OH 43221-2850
(614) 457-3927
(614) 457-0668
Mailing address
7870 OLENTANGY RIVER RD STE 205, COLUMBUS, OH 43235-1319
(614) 436-0316
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.022613
OH
Other
Enumeration date
10/05/2017
Last updated
06/16/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up