MEDICARE: SEVA DENTAL OHIO LLC

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	122300000X	Dentist

General Provider Information

NPI Number	:	1962352419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEVA DENTAL OHIO LLC

Provider Business Mailing Address
First Line	:	4050 GANTZ RD
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-4816
Country	:	US
Telephone Number	:	614-875-7070
Fax Number	:

Provider Business Practice Location Address
First Line	:	4050 GANTZ RD
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-4816
Country	:	US
Telephone Number	:	614-875-7070
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF RCM
Name	:	KELLY ROLNICKI
Credential	:
Telephone Number	:	708-372-4773

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

Similar Medicare Providers

1780687871 — DR. STEVEN GROSSMAN DPM
Practice Location Address:

4068 GANTZ RD
GROVE CITY, OH
43123-4816

Practice Phone: 614-539-0200
Practice Fax: 614-317-7392

1457333221 — ALFREDO LOPEZ FIGUEROA D.O.
Practice Location Address:

4072 GANTZ RD
GROVE CITY, OH
43123-4816

Practice Phone: 614-875-0011
Practice Fax: 614-539-7287

1457319733 — GROVE CITY PHYSICAL MEDICINE, L.L.C.
Practice Location Address:

4070 GANTZ RD
GROVE CITY, OH
43123-4816

Practice Phone: 614-820-2339
Practice Fax: 614-820-0339

1063451144 — DOUGLAS C WALLACE MD
Practice Location Address:

4072 GANTZ RD
GROVE CITY, OH
43123-4816

Practice Phone: 614-875-0011
Practice Fax: 614-539-7287

1336188861 — AMERICAN HEALTH NETWORK OF OHIO, LLC
Practice Location Address:

4072 GANTZ RD
GROVE CITY, OH
43123-4816

Practice Phone: 614-875-0011
Practice Fax: 614-875-0736

1588606784 — FRANCISCO C BUENDIA JR. MD
Practice Location Address:

4072 GANTZ RD
GROVE CITY, OH
43123-4816

Practice Phone: 614-875-0011
Practice Fax: 614-539-7287

Directions to “SEVA DENTAL OHIO LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.