=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114876828
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BYCZEK ORTHODONTICS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/26/2026
-----------------------------------------------------
Last Update Date | 01/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 955 N HAMILTON RD
-----------------------------------------------------
City | GAHANNA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43230-1758
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-475-9800
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6890 PERIMETER DR STE B
-----------------------------------------------------
City | DUBLIN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43016-8079
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-718-2222
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | EWA TERESA BYCZEK
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 614-718-2222
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223X0400X
-----------------------------------------------------
Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------