Organization · Type 2 NPI

Ohio Dental Professionals, Delisle, PC

General Practice Dentistry · Reynoldsburg, OH

NPI number 1992197883 Active

Practice location

8086 E Broad St
Reynoldsburg, OH 43068

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	30024311 (OH)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3 other providers at this address

Other general practice dentistry providers in Reynoldsburg

See all in Reynoldsburg →

NPI record

NPI: 1992197883
Entity type: Organization (Type 2)
Issued: Mar 2, 2015
Last updated: Mar 4, 2015
Status: Active
Subpart: Yes of Ohio Dental Professionals, Delisle, PC

Other names

<unavail>
East Broad Family Dentistry · doing business as

Authorized official

Kendra Walker
Credentialing Coordinator
(217) 540-8312

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1992197883

Ohio Dental Professionals, Delisle, PC's National Provider Identifier is 1992197883, issued on Mar 2, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Reynoldsburg, OH. The record was last updated on Mar 4, 2015.