OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY NPI 1477023034

NPI Information

NPI: 1477023034
Provider Name: OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Classification: Dentist - 1223X0008X
Entity Type: Organization

Specialization: Oral and Maxillofacial Radiology

Address:
305 WEST 12TH AVENUE
COLUMBUS, OH
ZIP 43210
Phone: (614) 247-8497
Get Directions

OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY is an oral and maxillofacial radiology dentist in Columbus, OH. The provider is the specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY NPI is 1477023034. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

305 WEST 12TH AVENUE
COLUMBUS, OH
ZIP 43210
Phone: (614) 247-8497

The provider's authorized official is Sonya Kalim .
The authorized official title is Clinical Assistant Professor and has the following contact phone number (614) 247-8497.

The enumeration date for this NPI number is 11/27/2018 and was last updated on 11/27/2018.

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
1	1223X0008X	Dentist	Oral and Maxillofacial Radiology			Yes

What is NPI?

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

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