Mark A Straka Dds Inc
LBN: Mark A Straka Dds Inc
Mark A Straka Dds Inc is an health care organization with primary practice located at 3545 Olentangy River Rd Suite 125, Columbus OH 43214-3907. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty.
Mark A Straka Dds Inc can be contacted via phone (614) 267-0385, or through Straka, Mark A via phone (614) 267-0385.
Contact Information
Primary practice address
3545 Olentangy River Rd Suite 125
Columbus OH 43214-3907
Phone: (614) 267-0385
Fax:
Website:
Authorized official contact:
Name: Straka, Mark A Doctor of Dental Surgery (DDS)
Phone: (614) 267-0385
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X |
Profile Details
| NPI number | 1578833174 |
|---|---|
| LBN Legal business name | Mark A Straka Dds Inc |
| DBA Doing business as | |
| Authorized official | Straka, Mark A Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2012 |
| Last updated | Jan 12th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578833174 | NPPES |
| Ohio | MEDICAID | 0391179 |
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