Individual
DR. MICHAEL C SOULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
974 BETHEL RD, SUITE E, COLUMBUS, OH 43214-2467
(614) 459-0011
(614) 459-0883
Mailing address
974 BETHEL RD, SUITE E, COLUMBUS, OH 43214-2467
(614) 459-0011
(614) 459-0883
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30-013086
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211783
—
OH
Enumeration date
10/11/2006
Last updated
07/21/2022
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