| Blue Jackets Braces | |
|
1175 Columbus Pike Delaware OH 43015-2713 | |
| (740) 293-0178 | |
| Not Available |
| Full Name | Blue Jackets Braces |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1175 Columbus Pike, Delaware, Ohio |
| Authorized Official Name and Position | Brian Dean (ADMINISTRATOR) |
| Authorized Official Contact | 6147065206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Jackets Braces 1175 Columbus Pike Delaware OH 43015-2713 | Blue Jackets Braces 1175 Columbus Pike Delaware OH 43015-2713 Ph: (740) 293-0178 |
| NPI Number | 1972060408 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 02/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972060408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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