Organization
MICHAEL C SOULT DMD & ALBERT H HACKMAN III, INC.
Active
Other names
Dental Reflections - Bethel
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C SOULT D.M.D. (PRESIDENT OWNER)
(614) 459-0011
Entity
Organization
Contact information
Practice address
974 BETHEL ROAD, SUITE E, COLUMBUS, OH 43214
(614) 459-0011
(614) 459-0883
Mailing address
974 BETHEL ROAD, SUITE E, COLUMBUS, OH 43214
(641) 459-0011
(614) 459-0883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30-021803
OH
1223P0221X
Pediatric Dentistry
Primary
30-013986
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
30-020583
OH
Other
Enumeration date
06/08/2007
Last updated
10/05/2007
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