Organization
WILLIAM J. LIGHTFOOT DDS, MS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J LIGHTFOOT DDS, MS (OWNER)
(614) 457-1432
Entity
Organization
Contact information
Practice address
5151 REED RD STE 127C, COLUMBUS, OH 43220-2553
(614) 457-1432
(614) 457-1444
Mailing address
5151 REED RD STE 127C, COLUMBUS, OH 43220-2553
(614) 457-1432
(614) 457-1444
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30013702
DENTAL LICENSE
OH
Enumeration date
07/31/2020
Last updated
07/31/2020
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