Organization
614 DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA HERMAN (OWNER / OFFICE MANAGER)
(614) 632-3150
Entity
Organization
Contact information
Practice address
81 S 4TH ST STE 205, COLUMBUS, OH 43215-4308
(614) 588-8200
Mailing address
2028 FLORAL AVE, COLUMBUS, OH 43223-1106
(614) 632-3150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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