Wellformed AI

NPI 1013441872 · live from the CMS NPI Registry

Dental Specialists Of Central Ohio

Dentist in Sunbury, OH. National Provider Identifier 1013441872, active.

NPI record

NPI1013441872 Type 2 · organization
StatusActive
Primary specialtyDentist 122300000X
Practice location257 W Granville St, Suite 202, Sunbury, OH 43074
Practice phone740-913-0328
Mailing addressPo Box 798, Sunbury, OH 43074
EnumeratedApril 18, 2017
Last updatedApril 18, 2017
Authorized officialDavid Anthony, Owner/Dentist

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Endodontics1223E0200X—
Dentist, Pediatric Dentistry1223P0221X—
Dentist, Periodontics1223P0300X—
Dentist, Oral and Maxillofacial Surgery1223S0112X—
Dentist, Orthodontics and Dentofacial Orthopedics1223X0400X—
Dentist primary122300000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.