Columbus Pediatric Dentistry, P.c. | |
3158 N National Rd Columbus IN 47201-3170 | |
(812) 376-0166 | |
Not Available |
Full Name | Columbus Pediatric Dentistry, P.c. |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 3158 N National Rd, Columbus, Indiana |
Authorized Official Name and Position | Marvin V Pavlov (C.E.O.) |
Authorized Official Contact | 8123760166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Columbus Pediatric Dentistry, P.c. 3158 N National Rd Columbus IN 47201-3170 Ph: (812) 376-0166 | Columbus Pediatric Dentistry, P.c. 3158 N National Rd Columbus IN 47201-3170 Ph: (812) 376-0166 |
NPI Number | 1326254111 |
---|---|
Provider Enumeration Date | 05/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326254111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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