MY FAMILY DENTAL NPI 1295019115

NPI Information

NPI: 1295019115
Provider Name: MY FAMILY DENTAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4110 BUCKEYE PKWY
GROVE CITY, OH
ZIP 43123
Phone: (614) 539-0765
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MY FAMILY DENTAL is a dental clinic center in Grove City, OH. MY FAMILY DENTAL NPI is 1295019115. The provider is registered as an organization entity type.

The provider's business location address is:

4110 BUCKEYE PKWY
GROVE CITY, OH
ZIP 43123-175
Phone: (614) 539-0765
Fax: (614) 522-6767

The provider's authorized official is Michael Lee Smith .
The authorized official title is Owner and has the following contact phone number (614) 759-4746.

The enumeration date for this NPI number is 10/11/2011 and was last updated on 10/11/2011.

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	30022270	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1821011701	OTHER	OHIO	INDIVIDUAL NPI
2	1871652495	OTHER	OHIO	INDIVIDUAL NPI

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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