Nisonger Dental Program At Johnstown Road

LBN: Nisonger Dental Program At Johnstown Road
Nisonger Dental Program At Johnstown Road is an health care organization with primary practice located at 2879 Johnstown Rd , Columbus OH 43219-1719. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Nisonger Dental Program At Johnstown Road can be contacted via phone (614) 342-5795, or through Solis, Diego via phone (614) 342-5795.

Contact Information

Primary practice address
2879 Johnstown Rd Columbus OH 43219-1719
Phone: (614) 342-5795
Fax: (614) 342-5804
Website:
Map and Directions
Authorized official contact:
Name: Solis, Diego Doctor of Dental Surgery (DDS)
Phone: (614) 342-5795

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 71000178 Ohio

Profile Details

NPI number 1265749899
LBN Legal business name Nisonger Dental Program At Johnstown Road
DBA Doing business as
Authorized official Solis, Diego Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2010
Last updated Sep 2nd, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265749899 NPPES
Ohio MEDICAID 2671087

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