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OSU OBSERVATION MEDICINE SVS DENTAL NPI 1386391456


NPI Information

NPI: 1386391456
Provider Name: OSU OBSERVATION MEDICINE SVS DENTAL
Classification: Dentist - 1223D0004X
Entity Type: Organization

Specialization: Dentist Anesthesiologist

Address:
410 W 10TH AVE
COLUMBUS, OH
ZIP 43210
Phone: (614) 293-8487
Get Directions

OSU OBSERVATION MEDICINE SVS DENTAL is a dentist anesthesiologist dentist in Columbus, OH. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. OSU OBSERVATION MEDICINE SVS DENTAL NPI is 1386391456. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

410 W 10TH AVE
COLUMBUS, OH
ZIP 43210-240
Phone: (614) 293-8487
Fax: (614) 293-8153

The provider's authorized official is Ann K Moeller .
The authorized official title is Associate Director and has the following contact phone number (614) 293-5288.

The enumeration date for this NPI number is 3/8/2022 and was last updated on 5/16/2022.


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
11223D0004XDentistDentist AnesthesiologistYes

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
10486983MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.