MEDICARE: ERIC GUZAK DMD LLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1356298061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIC GUZAK DMD LLC

Provider Business Mailing Address
First Line	:	1895 BETHEL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-1869
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1895 BETHEL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-1869
Country	:	US
Telephone Number	:	614-442-3933
Fax Number	:

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	ERIC GUZAK
Credential	:	DMD
Telephone Number	:	614-442-3933

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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