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NPI Code Detail

MEDICARE: GLOBAL DENTAL CENTER INC.

MEDICARE: GLOBAL DENTAL CENTER 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
11223G0001XGeneral Practice Dentistry30-01-9588OH

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 : 1871642421
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLOBAL DENTAL CENTER INC.
Provider Business Mailing Address
First Line : 4337 CLEVELAND AVE STE B
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-5504
Country : US
Telephone Number : 614-472-2220
Fax Number :
Provider Business Practice Location Address
First Line : 4337 CLEVELAND AVE STE B
Second Line :
City : COLUMBUS
State : OH
Zip : 43224-5504
Country : US
Telephone Number : 614-472-2220
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JACINTO W. BEARD
Credential : D.D.S.
Telephone Number : 614-472-2220
Provider Enumeration Date : 01/10/2007
Last Update Date : 10/18/2011

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Directions to “GLOBAL DENTAL CENTER INC. ” Practice Location

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