Healthcare Provider Details

I. General information

NPI: 1316914955
Provider Name (Legal Business Name): DUBLIN FAMILY PRACTICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 10/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6760 AVERY MUIRFIELD DR STE A
DUBLIN OH
43017-1232
US

IV. Provider business mailing address

PO BOX 550
LANCASTER OH
43130-0550
US

V. Phone/Fax

Practice location:
  • Phone: 614-791-9952
  • Fax: 614-791-9953
Mailing address:
  • Phone: 740-687-5164
  • Fax: 740-654-1417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS M FLYNN
Title or Position: PRESIDENT
Credential: MD
Phone: 614-791-9952