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General NPI Number Information
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NPI Number | 1750408985
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Entity Type | Individual
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Provider Name | DAVID G AUSTIN DDS INC
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Gender | Male
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 3600 OLENTANGY RIVER RD SUITE B 1
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City | COLUMBUS
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State | OH
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Zip | 43214-3437
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Country | US
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Telephone | 614-451-3600
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Fax | 614-451-3726
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Provider Business Mailing Address
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Address Line | 3600 OLENTANGY RIVER RD SUITE B 1
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City | COLUMBUS
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State | OH
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Zip | 43214-3437
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Country | US
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Telephone | 614-451-3600
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Fax | 614-451-3726
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 30016555
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 30016555
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number | 30016555
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License Number State | OH
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