DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JEROME TABACCA D.D.S.

MEDICARE: DR. JEROME TABACCA 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
11223P0300XPeriodonticsOH14335OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1432538OTHERWVUNITED CONCORDIA

General Provider Information

NPI Number : 1942202163
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEROME TABACCA D.D.S.
Provider Business Mailing Address
First Line : 1707 BETHEL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-1810
Country : US
Telephone Number : 614-459-0050
Fax Number : 614-459-1955
Provider Business Practice Location Address
First Line : 1707 BETHEL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-1810
Country : US
Telephone Number : 614-459-0050
Fax Number : 614-459-1955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1376542316 — OHIO ENT SURGEONS, INC.
Practice Location Address:
1810 MACKENZIE DR
COLUMBUS, OH
43220-2967
Practice Phone: 614-273-2250
Practice Fax: 614-273-2255
1447250246 — DR. DANIEL G JACKSON M.D.
Practice Location Address:
1810 MACKENZIE DR
COLUMBUS, OH
43220-2967
Practice Phone: 614-273-2250
Practice Fax: 614-273-2255
1730189515 — DR. RICHARD IRENE M.D.
Practice Location Address:
1810 MACKENZIE DR
COLUMBUS, OH
43220-2967
Practice Phone: 614-538-2424
Practice Fax: 614-538-2418
1902903073 — CAPITAL SLEEP CENTER, LTD
Practice Location Address:
1810 MACKENZIE DR
COLUMBUS, OH
43220-2967
Practice Phone: 614-246-0285
Practice Fax: 614-246-0486
1033380621 — MARY BETH FAIS AU.D
Practice Location Address:
1810 MACKENZIE DR , 2ND FLOOR
COLUMBUS, OH
43220-2967
Practice Phone: 614-273-2250
Practice Fax: 614-273-2255
1366755688 — CANDACE R BILTZ AU.D.
Practice Location Address:
1810 MACKENZIE DR
COLUMBUS, OH
43220-2967
Practice Phone: 614-273-2234
Practice Fax:

Directions to “ DR. JEROME TABACCA D.D.S.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.