Individual
DR. BRIAN C. STICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
877 EASTWIND DR, WESTERVILLE, OH 43081-3309
(614) 882-1135
(614) 882-4911
Mailing address
877 EASTWIND DR, WESTERVILLE, OH 43081-3309
(614) 882-1135
(614) 882-4911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09912
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201384722
TAX ID
OH
Enumeration date
10/11/2007
Last updated
10/11/2007
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