Healthcare Provider Details

I. General information

NPI: 1326298456
Provider Name (Legal Business Name): RUMMEL & SCHUMACHER, DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2008
Last Update Date: 09/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 OLENTANGY RIVER RD SUITE 500B
COLUMBUS OH
43214-3437
US

IV. Provider business mailing address

3600 OLENTANGY RIVER RD SUITE 500B
COLUMBUS OH
43214-3437
US

V. Phone/Fax

Practice location:
  • Phone: 614-451-1110
  • Fax:
Mailing address:
  • Phone: 614-451-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number12953
License Number StateOH

VIII. Authorized Official

Name: AMY LYNN RUSSELL
Title or Position: PRACTICE MANAGER
Credential:
Phone: 614-451-1110