Healthcare Provider Details

I. General information

NPI: 1043026891
Provider Name (Legal Business Name): ARLINGTON DENTAL DESIGNS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2024
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3360 TREMONT RD STE 150
COLUMBUS OH
43221-2121
US

IV. Provider business mailing address

17 NORTON RD
COLUMBUS OH
43228-1711
US

V. Phone/Fax

Practice location:
  • Phone: 614-451-5161
  • Fax:
Mailing address:
  • Phone: 614-870-3337
  • Fax: 614-870-3339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JULIE THACKER
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 614-870-3337