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NPI Code Detail

MEDICARE: DR. FAITH MADDEN DMD

MEDICARE:  DR. FAITH  MADDEN  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
1122300000XDentist30022406OH

General Provider Information

NPI Number : 1457407165
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FAITH MADDEN DMD
Provider Business Mailing Address
First Line : 164 CLINT DR
Second Line :
City : PICKERINGTON
State : OH
Zip : 43147-7994
Country : US
Telephone Number : 614-367-1740
Fax Number : 614-367-1760
Provider Business Practice Location Address
First Line : 164 CLINT DR
Second Line :
City : PICKERINGTON
State : OH
Zip : 43147-7994
Country : US
Telephone Number : 614-367-1740
Fax Number : 614-367-1760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 07/08/2007

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Directions to “ DR. FAITH MADDEN DMD” Practice Location

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