| Fred O Sakamoto Dds, Inc | |
| 
					7334 E Broad St Ste B Blacklick OH 43004-9239  | |
| (614) 575-0070 | |
| (614) 575-0068 | 
| Full Name | Fred O Sakamoto Dds, Inc | 
|---|---|
| Speciality | Dentist - Periodontics | 
| Location | 7334 E Broad St Ste B, Blacklick, Ohio | 
| Authorized Official Name and Position | Donna Lynn Depalma (OPERATIONS MANAGER) | 
| Authorized Official Contact | 6145750070 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Fred O Sakamoto Dds, Inc 7334 E Broad St Ste B Blacklick OH 43004-9239 Ph: (614) 575-0070  | Fred O Sakamoto Dds, Inc 7334 E Broad St Ste B Blacklick OH 43004-9239 Ph: (614) 575-0070  | 
| NPI Number | 1386201101 | 
|---|---|
| Provider Enumeration Date | 05/28/2019 | 
| Last Update Date | 06/11/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386201101 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary | 
Eastpoint Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7334 E Broad St Ste A, Blacklick, OH 43004 Phone: 614-755-2275 Fax: 614-759-4699  | |
Columbus Endodontic Specialists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7334 E Broad St Ste C, Blacklick, OH 43004 Phone: 614-577-1100 Fax: 614-577-1348  |