Healthcare Provider Details
I. General information
NPI: 1164537734
Provider Name (Legal Business Name): STEVEN M KLAYMAN DDS MS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1925 E DUBLIN GRANVILLE RD
COLUMBUS OH
43229
US
IV. Provider business mailing address
1925 E DUBLIN GRANVILLE RD
COLUMBUS OH
43229
US
V. Phone/Fax
- Phone: 614-846-5273
- Fax:
- Phone: 614-846-5273
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223E0200X |
| Taxonomy | Endodontics |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVEN
MARK
KLAYMAN
Title or Position: PRESIDENT
Credential: DDS MS
Phone: 614-846-5273