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GREATER COLUMBUS PERIODONTICS LLC RYAN J. SERRA DMD MS NPI 1184958225


NPI Information

NPI: 1184958225
Provider Name: GREATER COLUMBUS PERIODONTICS, LLC, RYAN J. SERRA, DMD, MS
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
1914 BETHEL RD
COLUMBUS, OH
ZIP 43220
Phone: (614) 451-1122
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GREATER COLUMBUS PERIODONTICS, LLC, RYAN J. SERRA, DMD, MS is a periodontics dentist in Columbus, OH. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. GREATER COLUMBUS PERIODONTICS, LLC, RYAN J. SERRA, DMD, MS NPI is 1184958225. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1914 BETHEL RD
COLUMBUS, OH
ZIP 43220-802
Phone: (614) 451-1122

The provider's authorized official is Ryan Serra .
The authorized official title is Member and has the following contact phone number (614) 451-1122.

The enumeration date for this NPI number is 9/22/2009 and was last updated on 9/22/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics014666OHIONo
21223P0300XDentistPeriodontics023093OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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