Healthcare Provider Details

I. General information

NPI: 1528027505
Provider Name (Legal Business Name): ROSHNI BEKAL DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 03/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 NORTON RD
COLUMBUS OH
43228-1711
US

IV. Provider business mailing address

17 NORTON RD
COLUMBUS OH
43228-1711
US

V. Phone/Fax

Practice location:
  • Phone: 614-870-3337
  • Fax: 614-870-3339
Mailing address:
  • Phone: 614-870-3337
  • Fax: 614-870-3339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30021724
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: