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COOPERATING DENTAL MANAGEMENT GROUP INC. NPI 1629294640


NPI Information

NPI: 1629294640
Provider Name: COOPERATING DENTAL MANAGEMENT GROUP INC.

Doing Business As: SOUTHMOOR DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1685 LOCKBOURNE RD
COLUMBUS, OH
ZIP 43207
Phone: (614) 444-9849
Get Directions

COOPERATING DENTAL MANAGEMENT GROUP INC. is a general practice dentist in Columbus, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. COOPERATING DENTAL MANAGEMENT GROUP INC. NPI is 1629294640. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Southmoor Dental Group.

The provider's business location address is:

1685 LOCKBOURNE RD
COLUMBUS, OH
ZIP 43207-476
Phone: (614) 444-9849
Fax: (614) 444-0811

The provider's authorized official is Darius A Talebi .
The authorized official title is Owner and has the following contact phone number (614) 444-9849.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.


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
11223G0001XDentistGeneral PracticeYes

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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