Healthcare Provider Details

I. General information

NPI: 1568955268
Provider Name (Legal Business Name): PATRICK CHOI DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2018
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 W 10TH AVE
COLUMBUS OH
43210-1240
US

IV. Provider business mailing address

3181 NORTHWEST BLVD APT 601
COLUMBUS OH
43221-2279
US

V. Phone/Fax

Practice location:
  • Phone: 614-247-1735
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License NumberRES004705
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: