Organization
ELEGANT SMILES DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI KHAKSARFARD DDS (DENTIST/OWNER)
(614) 824-5454
Entity
Organization
Contact information
Practice address
4775 KNIGHTS BRIDGE BLVD., COLUMBUS, OH 43214
(614) 824-5454
Mailing address
4775 KNIGHTS BRIDGE BLVD., COLUMBUS, OH 43214
(614) 824-5454
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21821
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2417772
—
OH
Enumeration date
06/19/2013
Last updated
06/19/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us