Organization
I AM BOUNDLESS, INC.
Active
Parent organization
I AM BOUNDLESS, INC.
Other names
Boundless Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
I AM BOUNDLESS, INC.
Authorized official
LAURIE B HICKMAN (CONTRACTING & CREDENTIALING MANAGER)
(614) 844-3800
Entity
Organization
Contact information
Practice address
445 E DUBLIN GRANVILLE RD STE H, WORTHINGTON, OH 43085-3192
(614) 844-3800
Mailing address
445 E DUBLIN GRANVILLE RD STE H, WORTHINGTON, OH 43085-3192
(614) 844-3800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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