| Blacklick Creek Dental | |
|
7395 E Main St Reynoldsburg OH 43068-2160 | |
| (614) 860-0065 | |
| Not Available |
| Full Name | Blacklick Creek Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7395 E Main St, Reynoldsburg, Ohio |
| Authorized Official Name and Position | Ankit Patel (OWNER) |
| Authorized Official Contact | 6148600065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blacklick Creek Dental 7395 E Main St Reynoldsburg OH 43068-2160 Ph: (614) 860-0065 | Blacklick Creek Dental 7395 E Main St Reynoldsburg OH 43068-2160 Ph: (614) 860-0065 |
| NPI Number | 1548741200 |
|---|---|
| Provider Enumeration Date | 08/22/2018 |
| Last Update Date | 08/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548741200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30.024975 (Ohio) | Primary |
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