| Columbus Endodontics | |
|
3200 Middle Rd Columbus IN 47203-4426 | |
| (812) 372-3636 | |
| Not Available |
| Full Name | Columbus Endodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3200 Middle Rd, Columbus, Indiana |
| Authorized Official Name and Position | Jordon C Jacobs (DENTIST) |
| Authorized Official Contact | 8123614051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Endodontics 5990 Hollow Ct Bargersville IN 46106-8503 Ph: (812) 361-4051 | Columbus Endodontics 3200 Middle Rd Columbus IN 47203-4426 Ph: (812) 372-3636 |
| NPI Number | 1720746357 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 03/07/2023 |
| Certification Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720746357 | NPI | - | NPPES |
| 12012180A | Other | IN | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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