MEDICARE: DR. JOHN R. KALMAR

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
1	1223P0106X	Oral and Maxillofacial Pathology Dentistry	020958	OH

General Provider Information

NPI Number	:	1952464109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN R. KALMAR

Provider Business Mailing Address
First Line	:	225 BEECH TRAIL CT
Second Line	:
City	:	POWELL
State	:	OH
Zip	:	43065-9666
Country	:	US
Telephone Number	:	614-885-0488
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 MARCONI BLVD STE 308
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-2329
Country	:	US
Telephone Number	:	503-906-7300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	08/01/2025

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