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Individual

DR. DENNIS JOHNSTON MCTIGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-0898
(614) 292-1125
Mailing address
893 ANGUS CT, COLUMBUS, OH 43085-2951
(614) 431-0716

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30-01-7722
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0571493
OH
05
3810005182
WV
Enumeration date
06/02/2006
Last updated
12/14/2021
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