MEDICARE: THOMAS J. VERHOFF D.D.S., INC

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

General Provider Information

NPI Number	:	1801901038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS J. VERHOFF D.D.S., INC

Provider Business Mailing Address
First Line	:	5797 BEECHCROFT RD
Second Line	:	SUITE B
City	:	COLUMBUS
State	:	OH
Zip	:	43229-2758
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5797 BEECHCROFT RD
Second Line	:	SUITE B
City	:	COLUMBUS
State	:	OH
Zip	:	43229-2758
Country	:	US
Telephone Number	:	614-891-0440
Fax Number	:	614-891-0428

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	NANCY PHILLIPS
Credential	:
Telephone Number	:	614-891-0440

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	08/22/2020

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