Organization
DAVID G AUSTIN DDS INC
Active
Parent organization
DAVID G AUSTIN DDS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVID G AUSTIN DDS INC
Authorized official
MRS. SHARON M AUSTIN (OFFICE MANAGER)
(614) 451-3600
Entity
Organization
Contact information
Practice address
3600 OLENTANGY RIVER RD, SUITE B-1, COLUMBUS, OH 43214-3437
(614) 451-3600
(614) 451-3726
Mailing address
3600 OLENTANGY RIVER RD, SUITE B-1, COLUMBUS, OH 43214-3437
(614) 451-3600
(614) 451-3726
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
30016555
OH
335E00000X
Prosthetic/Orthotic Supplier
Primary
30016555
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0436568
—
OH
01
—
6662470001
MEDICARE DME PTAN
OH
Enumeration date
05/21/2013
Last updated
05/21/2013
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