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NPI Code Detail

MEDICARE: MARTIN D. GELENDER DDS

MEDICARE: MARTIN D. GELENDER DDS
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
11223G0001XGeneral Practice Dentistry16694OH

Other Identifiers

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

General Provider Information

NPI Number : 1538213293
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN D. GELENDER DDS
Provider Business Mailing Address
First Line : 561 WHITNEY AVE
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-2474
Country : US
Telephone Number : 614-252-3181
Fax Number : 614-252-1549
Provider Business Practice Location Address
First Line : 949 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2748
Country : US
Telephone Number : 614-252-3181
Fax Number : 614-252-1549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 07/08/2007

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Directions to “ MARTIN D. GELENDER DDS” Practice Location

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