| Buckeye Pediatric Dentistry | |
|
2000 Brice Rd Reynoldsburg OH 43068 | |
| (614) 575-2225 | |
| (614) 575-2252 |
| Full Name | Buckeye Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2000 Brice Rd, Reynoldsburg, Ohio |
| Authorized Official Name and Position | Lucia C Gerstmann (OWNER) |
| Authorized Official Contact | 6145752225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckeye Pediatric Dentistry 2000 Brice Rd Reynoldsburg OH 43068 Ph: (614) 575-2225 | Buckeye Pediatric Dentistry 2000 Brice Rd Reynoldsburg OH 43068 Ph: (614) 575-2225 |
| NPI Number | 1366728685 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 05/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366728685 | NPI | - | NPPES |
| 2580336 | Medicaid | OH | |
| 2703837 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 30021521 (Ohio) | Primary |
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