Organization
REYNOLDSBURG DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J LENZ III D.D.S. (OWNER)
(614) 866-4186
Entity
Organization
Contact information
Practice address
6504 E MAIN ST, REYNOLDSBURG, OH 43068-2319
(614) 866-4186
(614) 866-7160
Mailing address
6504 E MAIN ST, REYNOLDSBURG, OH 43068-2319
(614) 866-4186
(614) 866-7160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21426
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316011497
NPI
OH
01
—
1952334849
NPI
OH
Enumeration date
01/09/2014
Last updated
01/09/2014
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