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OSU HEALTH SYSTEM NEUROSURGERY NPI 1881087112


NPI Information

NPI: 1881087112
Provider Name: OSU HEALTH SYSTEM NEUROSURGERY

Other Name: NEUROSURGICAL DENTISTRY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
460 W 10TH AVE FL 5
COLUMBUS, OH
ZIP 43210
Phone: (614) 293-8074
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OSU HEALTH SYSTEM NEUROSURGERY is an oral and maxillofacial surgery dentist in Columbus, OH. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. OSU HEALTH SYSTEM NEUROSURGERY NPI is 1881087112. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Neurosurgical Dentistry.

The provider's business location address is:

460 W 10TH AVE FL 5
COLUMBUS, OH
ZIP 43210-240
Phone: (614) 293-8074
Fax: (614) 293-3193

The provider's authorized official is Jami Hensley .
The authorized official title is Administrative Director and has the following contact phone number (614) 293-2229.

The enumeration date for this NPI number is 3/11/2015 and was last updated on 2/1/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10121379MEDICAIDOHIO

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: 4/28/2024

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