Tabacca, Jerome
Tabacca, Jerome is an individual health care provider with primary practice located at 1707 Bethel Rd , Columbus OH 43220-1810. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Tabacca, Jerome can be contacted via phone (614) 459-0050.Contact Information
Primary practice address
1707 Bethel Rd
Columbus OH 43220-1810
Phone: (614) 459-0050
Fax: (614) 459-1955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | OH14335 | Ohio |
Profile Details
| NPI number | 1942202163 |
|---|---|
| LBN Legal business name | Tabacca, Jerome |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942202163 | NPPES |
| West Virginia | Other | 432538 | UNITED CONCORDIA |
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