Healthcare Provider Details

I. General information

NPI: 1174431894
Provider Name (Legal Business Name): ZIDEL DENTAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4575 WINCHESTER PIKE
COLUMBUS OH
43232-5684
US

IV. Provider business mailing address

4575 WINCHESTER PIKE
COLUMBUS OH
43232-5684
US

V. Phone/Fax

Practice location:
  • Phone: 614-837-2080
  • Fax: 614-837-0002
Mailing address:
  • Phone: 614-837-2080
  • Fax: 614-837-0002

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: ERIC J ZIDEL
Title or Position: OWNER
Credential: DDS
Phone: 614-837-2080