| Ollom DDS Pataskala LLC | |
|
186 E Broad St Pataskala OH 43062-8527 | |
| (740) 739-4111 | |
| (740) 739-4007 |
| Full Name | Ollom DDS Pataskala LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 186 E Broad St, Pataskala, Ohio |
| Authorized Official Name and Position | Jane Campbell (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5679408141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ollom DDS Pataskala LLC 186 E Broad St Pataskala OH 43062-8527 Ph: (740) 739-4111 | Ollom DDS Pataskala LLC 186 E Broad St Pataskala OH 43062-8527 Ph: (740) 739-4111 |
| NPI Number | 1063168730 |
|---|---|
| Provider Enumeration Date | 02/22/2022 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063168730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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