HIJAZI DENTAL ASSOCIATES LLC NPI 1447654355

NPI Information

NPI: 1447654355
Provider Name: HIJAZI DENTAL ASSOCIATES LLC

Doing Business As: HAPPY TEETH DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4930 W BROAD ST
SUITE 3
COLUMBUS, OH
ZIP 43228
Phone: (614) 853-4900
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HIJAZI DENTAL ASSOCIATES LLC is a dental clinic center in Columbus, OH. HIJAZI DENTAL ASSOCIATES LLC NPI is 1447654355. The provider is registered as an organization entity type.
The provider Is Doing Business As Happy Teeth Dental.

The provider's business location address is:

4930 W BROAD ST
SUITE 3
COLUMBUS, OH
ZIP 43228-696
Phone: (614) 853-4900
Fax: (614) 853-2415

The provider's authorized official is Osama Hijazi .
The authorized official title is Owner and has the following contact phone number (214) 334-5797.

The enumeration date for this NPI number is 10/21/2014 and was last updated on 11/18/2014.

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	30-022069	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	2538203	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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