NPI 1972060408 · live from the CMS NPI Registry
Blue Jackets Braces
Dentist, Orthodontics and Dentofacial Orthopedics in Delaware, OH. National Provider Identifier 1972060408, active.
NPI record
| NPI | 1972060408 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1175 Columbus Pike, Delaware, OH 43015 |
| Practice phone | 740-293-0178 |
| Enumerated | February 20, 2019 |
| Last updated | February 20, 2019 |
| Authorized official | Brian Dean, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.