Individual
DAVID G AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS INC
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
122300000X
Dentist
30016555
OH
1223X2210X
Orofacial Pain Dentistry
Primary
30016555
OH
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
30016555
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009218976
AETNA MEDICAL DME PIN
OH
05
—
0436568
—
OH
01
—
30016555
DENTAL LICENSE
OH
Enumeration date
03/23/2007
Last updated
06/06/2024
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