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NPI Code Detail

MEDICARE: LAURY J DIMICHAELANGELO DDS INC

MEDICARE: LAURY J DIMICHAELANGELO DDS INC
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
1122300000XDentist20286OH
2122300000XDentist21189OH
3332B00000XDurable Medical Equipment & Medical Supplies
4122300000XDentist18047OH

General Provider Information

NPI Number : 1295713915
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAURY J DIMICHAELANGELO DDS INC
Provider Business Mailing Address
First Line : 3974 KARL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-5221
Country : US
Telephone Number : 614-267-5000
Fax Number : 614-267-0541
Provider Business Practice Location Address
First Line : 3974 KARL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-5221
Country : US
Telephone Number : 614-267-5000
Fax Number : 614-267-0541
Authorized Official
Title or Position : PRESIDENT DENTIST
Name : DR. LAURY D DIMICHAELANGELO
Credential : DDS
Telephone Number : 614-267-5000
Provider Enumeration Date : 01/03/2006
Last Update Date : 09/02/2025

Similar Medicare Providers

1992898506 — DR. LAURY J DIMICHAELANGELO D.D.S.
Practice Location Address:
3974 KARL RD
COLUMBUS, OH
43224-5221
Practice Phone: 614-267-5000
Practice Fax: 614-267-0541
1528104841 — GUY R SCAROZZA O.D.
Practice Location Address:
3974 KARL RD
COLUMBUS, OH
43224-5221
Practice Phone: 614-267-7633
Practice Fax: 614-267-0534
1811105299 — DR. MICKEY C. HARRISON D.D.S.
Practice Location Address:
3974 KARL RD
COLUMBUS, OH
43224-5221
Practice Phone: 614-267-5000
Practice Fax: 614-267-0541
1689882052 — DR. LISA A. JOHNSON D.D.S.
Practice Location Address:
3974 KARL RD
COLUMBUS, OH
43224-5221
Practice Phone: 614-267-5000
Practice Fax: 614-267-0541
1275721870 — DR. JACK T. FOLIANO D.D.S.
Practice Location Address:
3974 KARL RD
COLUMBUS, OH
43224-5221
Practice Phone: 614-267-5000
Practice Fax: 614-267-0541
1770107567 — CAITLIN M CLARK
Practice Location Address:
3974 KARL RD
COLUMBUS, OH
43224-5221
Practice Phone: 614-267-5000
Practice Fax:

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