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NPI Code Detail

MEDICARE: NINA WOODIN DMD

MEDICARE: NINA WOODIN DMD
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
1122300000XDentist30.026512OH

General Provider Information

NPI Number : 1396314373
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA WOODIN DMD
Provider Business Mailing Address
First Line : 880 YARD ST UNIT 414
Second Line :
City : COLUMBUS
State : OH
Zip : 43212-3592
Country : US
Telephone Number : 513-476-7944
Fax Number :
Provider Business Practice Location Address
First Line : 4089 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-1614
Country : US
Telephone Number : 513-476-7944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2021
Last Update Date : 06/23/2021

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Directions to “ NINA WOODIN DMD” Practice Location

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