MEDICARE: BYCZEK ORTHODONTICS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1114876828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BYCZEK ORTHODONTICS, INC.

Provider Business Mailing Address
First Line	:	6890 PERIMETER DR STE B
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-8079
Country	:	US
Telephone Number	:	614-718-2222
Fax Number	:

Provider Business Practice Location Address
First Line	:	955 N HAMILTON RD
Second Line	:
City	:	GAHANNA
State	:	OH
Zip	:	43230-1758
Country	:	US
Telephone Number	:	614-475-9800
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EWA TERESA BYCZEK
Credential	:	DDS
Telephone Number	:	614-718-2222

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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