MEDICARE: DR. RACHEL MARIE SANYK 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
1	1223G0001X	General Practice Dentistry	30023146	OH

General Provider Information

NPI Number	:	1740475102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL MARIE SANYK D.D.S.

Provider Business Mailing Address
First Line	:	6304 SCIOTO DARBY RD
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-9726
Country	:	US
Telephone Number	:	614-534-0257
Fax Number	:	614-534-0260

Provider Business Practice Location Address
First Line	:	6304 SCIOTO DARBY RD
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-9726
Country	:	US
Telephone Number	:	614-534-0257
Fax Number	:	614-534-0260

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

Provider Enumeration Date	:	09/10/2007
Last Update Date	:	05/14/2015

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