Organization
PEDIATRIC DENTISTRY OF CENTRAL OHIO, RICHARD M. LOOCHTAN DDS, MS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M. LOOCHTAN D.D.S., M.S. (OWNER)
(614) 863-8500
Entity
Organization
Contact information
Practice address
1600 CROSS CREEKS BLVD, PICKERINGTON, OH 43147
(614) 863-8500
(614) 863-0874
Mailing address
1600 CROSS CREEKS BLVD, PICKERINGTON, OH 43147
(614) 863-8500
(614) 863-0874
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
18880
OH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0819127OH
—
OH
Enumeration date
11/24/2008
Last updated
03/12/2014
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