Healthcare Provider Details

I. General information

NPI: 1801025218
Provider Name (Legal Business Name): DAVID V GESTOSANI D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2009
Last Update Date: 06/02/2023
Certification Date: 06/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6790 PERIMETER DR STE 100
DUBLIN OH
43016-8050
US

IV. Provider business mailing address

6790 PERIMETER DR STE 100
DUBLIN OH
43016-8050
US

V. Phone/Fax

Practice location:
  • Phone: 614-717-3500
  • Fax: 614-717-0933
Mailing address:
  • Phone: 614-717-3500
  • Fax: 614-717-0933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30-023040
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: