Organization
FREDRIC A KAUFMAN DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDRIC ANDREW KAUFMAN DDS (OWNER)
(614) 231-4527
Entity
Organization
Contact information
Practice address
3040 E MAIN ST, COLUMBUS, OH 43209-2619
(614) 231-4527
(614) 231-5525
Mailing address
3040 E MAIN ST, COLUMBUS, OH 43209-2619
(614) 231-4527
(614) 231-5525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15295
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348618
—
OH
Enumeration date
06/05/2007
Last updated
08/22/2020
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