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NPI Code Detail

MEDICARE: DR. MEGAN KOTTMAN D.D.S

MEDICARE: DR. MEGAN KOTTMAN D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist30.024460OH

General Provider Information

NPI Number : 1144609538
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEGAN KOTTMAN D.D.S
Provider Business Mailing Address
First Line : 4218 HOOVER RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-3625
Country : US
Telephone Number : 614-539-2702
Fax Number : 614-539-2796
Provider Business Practice Location Address
First Line : 4218 HOOVER RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-3625
Country : US
Telephone Number : 614-539-2702
Fax Number : 614-539-2796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2015
Last Update Date : 09/16/2021

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