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Organization

DENTAL SERVICES OF OHIO

Active
Parent organization
DENTAL SERVICES OF OHIO
Other names
ImmediaDent
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL SERVICES OF OHIO
Authorized official
AMY WHEELER (CREDENTIALING COORDINATOR)
(913) 800-6952
Entity
Organization

Contact information

Practice address
4044 MORSE RD, COLUMBUS, OH 43230-1448
(614) 473-0400
(913) 800-6967
Mailing address
PO BOX 11568, OVERLAND PARK, KS 66207-4268
(913) 428-1674
(913) 800-6967

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
261QD0000X
Dental Clinic/Center
Primary
30-022131
OH

Other

Enumeration date
10/11/2007
Last updated
04/12/2017
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