OLLOM DDS PATASKALA LLC NPI 1063168730

NPI Information

NPI: 1063168730
Provider Name: OLLOM DDS PATASKALA LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
186 E BROAD ST
PATASKALA, OH
ZIP 43062
Phone: (740) 739-4111
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OLLOM DDS PATASKALA LLC is a dental clinic center in Pataskala, OH. OLLOM DDS PATASKALA LLC NPI is 1063168730. The provider is registered as an organization entity type.

The provider's business location address is:

186 E BROAD ST
PATASKALA, OH
ZIP 43062-527
Phone: (740) 739-4111
Fax: (740) 739-4007

The provider's authorized official is Jane Campbell .
The authorized official title is Director Of Operations and has the following contact phone number (567) 940-8141.

The enumeration date for this NPI number is 2/22/2022 and was last updated on 2/22/2022.

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	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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