Buckeye Pediatric Dentistry | |
2000 Brice Rd Reynoldsburg OH 43068 | |
(614) 575-2225 | |
(614) 575-2252 |
Full Name | Buckeye Pediatric Dentistry |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 2000 Brice Rd, Reynoldsburg, Ohio |
Authorized Official Name and Position | Lucia C Gerstmann (OWNER) |
Authorized Official Contact | 6145752225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Buckeye Pediatric Dentistry 2000 Brice Rd Reynoldsburg OH 43068 Ph: (614) 575-2225 | Buckeye Pediatric Dentistry 2000 Brice Rd Reynoldsburg OH 43068 Ph: (614) 575-2225 |
NPI Number | 1366728685 |
---|---|
Provider Enumeration Date | 11/01/2011 |
Last Update Date | 05/08/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366728685 | NPI | - | NPPES |
2580336 | Medicaid | OH | |
2703837 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 30021521 (Ohio) | Primary |
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