Organization
DENTAL SERVICES OF OHIO
Active
Parent organization
DENTAL SERVICES OF OHIO
Other names
ImmediaDent
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL SERVICES OF OHIO
Authorized official
AMY WHEELER (CREDENTIALING COORDINATOR)
(913) 800-6952
Entity
Organization
Contact information
Practice address
6323 TUSSING RD, REYNOLDSBURG, OH 43068-3984
(614) 863-2222
(913) 800-6967
Mailing address
PO BOX 11568, OVERLAND PARK, KS 66207-4268
(913) 428-1674
(913) 800-6967
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22001
OH
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2569206
—
OH
Enumeration date
02/23/2007
Last updated
04/12/2017
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