Healthcare Provider Details

I. General information

NPI: 1871336370
Provider Name (Legal Business Name): VAHID G HAGEE, DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1669 LOCKBOURNE RD
COLUMBUS OH
43207-1476
US

IV. Provider business mailing address

1669 LOCKBOURNE RD
COLUMBUS OH
43207-1476
US

V. Phone/Fax

Practice location:
  • Phone: 614-444-9840
  • Fax: 614-444-7539
Mailing address:
  • Phone: 614-444-9840
  • Fax: 614-444-7539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VAHID G HAGEE
Title or Position: DENTIST
Credential: DDS
Phone: 614-444-9840