Organization
BUCKEYE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIA C GERSTMANN D.D.S., M.S. (OWNER)
(614) 575-2225
Entity
Organization
Contact information
Practice address
2000 BRICE RD, REYNOLDSBURG, OH 43068
(614) 575-2225
(614) 575-2252
Mailing address
2000 BRICE RD, REYNOLDSBURG, OH 43068
(614) 575-2225
(614) 575-2252
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30021521
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2580336
—
OH
05
—
2703837
—
OH
Enumeration date
11/01/2011
Last updated
05/08/2023
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