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General NPI Number Information
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NPI Number | 1700930948
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Entity Type | Organization
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Legal Business Name | WORTHINGTON PEDIATRIC DENTISTS INC.
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 8121 N HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43235-1441
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Country | US
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Telephone | 614-888-3212
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Fax | 614-888-3215
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Provider Business Mailing Address
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Address Line | 8121 N HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43235-1441
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Country | US
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Telephone | 614-888-3212
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Fax | 614-888-3215
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Authorized Official
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Title or Position | OWNER
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Name | DR. MINDY PRICE
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Credential | DDS
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Telephone | 614-888-3212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 17258
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License Number State | OH
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