Individual
DR. JONATHAN DAVIS WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4147 N HIGH ST, COLUMBUS, OH 43214-3001
(614) 263-0300
Mailing address
4147 N HIGH ST, COLUMBUS, OH 43214-3001
(614) 263-0300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
RES.3109
OH
1223G0001X
General Practice Dentistry
Primary
30-023681
OH
Other
Enumeration date
06/26/2011
Last updated
12/05/2018
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