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NPI Code Detail

MEDICARE: DR. DAVID H. VERZELLA D.D.S.

MEDICARE:  DR. DAVID H. VERZELLA  D.D.S.
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 Dentistry30. 017700OH
21223G0001XGeneral Practice DentistryDN010429GA

General Provider Information

NPI Number : 1659380012
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID H. VERZELLA D.D.S.
Provider Business Mailing Address
First Line : 4998 W BROAD ST
Second Line : SUITE #201
City : COLUMBUS
State : OH
Zip : 43228-1647
Country : US
Telephone Number : 614-878-6417
Fax Number : 614-878-0881
Provider Business Practice Location Address
First Line : 4998 W BROAD ST
Second Line : SUITE #201
City : COLUMBUS
State : OH
Zip : 43228-1647
Country : US
Telephone Number : 614-878-6417
Fax Number : 614-878-0881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID H. VERZELLA D.D.S.” Practice Location

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