Organization
JEFFREY L. WILDEN D.D.S.,INC.
Active
Other names
franklinton dental group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY L WILDEN D.D.S. (OFFICER)
(614) 351-0555
Entity
Organization
Contact information
Practice address
1531 W BROAD ST, COLUMBUS, OH 43222-1043
(614) 351-0555
(614) 351-0763
Mailing address
1531 W BROAD ST, COLUMBUS, OH 43222-1043
(614) 351-0555
(614) 351-0763
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
19204
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2272777
—
OH
Enumeration date
01/31/2007
Last updated
07/08/2011
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