MEDICARE: DR. ABAKORE LENCHO 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
1	1223G0001X	General Practice Dentistry	30.025799	OH

General Provider Information

NPI Number	:	1730747627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABAKORE LENCHO DDS

Provider Business Mailing Address
First Line	:	3238 INDIAN HEAD CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43224-1832
Country	:	US
Telephone Number	:	614-441-5822
Fax Number	:

Provider Business Practice Location Address
First Line	:	4034 MORSE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219
Country	:	US
Telephone Number	:	614-473-0400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2019
Last Update Date	:	06/05/2019

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