MEDICARE: NORTH COLUMBUS DENTAL PARTNERS, LLP

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	1223G0001X	General Practice Dentistry	30023170	OH
2	1223G0001X	General Practice Dentistry	30022750	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215202593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH COLUMBUS DENTAL PARTNERS, LLP

Provider Business Mailing Address
First Line	:	2610 E DUBLIN GRANVILLE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4000
Country	:	US
Telephone Number	:	614-794-7480
Fax Number	:	614-794-7482

Provider Business Practice Location Address
First Line	:	2610 E DUBLIN GRANVILLE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4000
Country	:	US
Telephone Number	:	614-794-7480
Fax Number	:	614-794-7482

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ADAM MCVEIGH
Credential	:	DDS
Telephone Number	:	614-794-7480

Provider Enumeration Date	:	03/20/2012
Last Update Date	:	03/20/2012

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