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Organization

OLENTANGY PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY T MILTON DDS MS (OWNER)
(614) 433-7474
Entity
Organization

Contact information

Practice address
525 LIBERTY RD. N, POWELL, OH 43065
(614) 433-7474
(614) 433-9090
Mailing address
525 LIBERTY RD. N, POWELL, OH 43065
(614) 433-7474
(614) 433-9090

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21874
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2565808
OH
Enumeration date
09/16/2006
Last updated
05/23/2024
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