NPI Code Details Logo

NPI 1649391491

NPI 1649391491 : LESLIE A. FROEBEL DDS : COLUMBUS, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1649391491
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LESLIE A. FROEBEL DDS
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/02/2007
-----------------------------------------------------
    Last Update Date     |    07/08/2007
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1975 GUILFORD RD 
-----------------------------------------------------
    City                 |    COLUMBUS
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43221-4300
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    614-488-1252
-----------------------------------------------------
    Fax                  |    614-488-1259
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1975 GUILFORD RD 
-----------------------------------------------------
    City                 |    COLUMBUS
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    43221-4300
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    614-488-1252
-----------------------------------------------------
    Fax                  |    614-488-1259
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    19984
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.