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WINCHESTER DENTAL LLC NPI 1306216247


NPI Information

NPI: 1306216247
Provider Name: WINCHESTER DENTAL LLC
Classification: Dentist - 122300000X
Entity Type: Organization

CLIA Number: 36D2211117

Address:
6418 WINCHESTER BLVD
CANAL WINCHESTER, OH
ZIP 43110
Phone: (614) 834-1834
Get Directions

WINCHESTER DENTAL LLC is a dentist in Canal Winchester, OH. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. WINCHESTER DENTAL LLC NPI is 1306216247. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6418 WINCHESTER BLVD
CANAL WINCHESTER, OH
ZIP 43110-005
Phone: (614) 834-1834

The provider's authorized official is Ladan Pourmoghadam .
The authorized official title is Owner and has the following contact phone number (614) 506-0740.

The CLIA number assigned to this NPI record is 36D2211117 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2015 and was last updated on 10/5/2015.


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
1122300000XDentist30018271OHIOYes

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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