Organization
BOUNDLESS HEALTH, INC.
Active
Other names
Boundless Health, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HICKMAN (CONTRACTING & CREDENTIALING MANAGER)
(614) 844-3800
Entity
Organization
Contact information
Practice address
445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 43085
(614) 844-3800
Mailing address
445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 43085
(614) 844-3800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
01/08/2021
Last updated
09/24/2024
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