| Sedalia Dental - Dr. Katherine Carroll, Dmd, Inc. | |
|
5327 Hendron Rd Groveport OH 43125-1055 | |
| (614) 836-2222 | |
| (614) 836-0659 |
| Full Name | Sedalia Dental - Dr. Katherine Carroll, Dmd, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5327 Hendron Rd, Groveport, Ohio |
| Authorized Official Name and Position | Katherine Carroll (PRESIDENT/DENTIST) |
| Authorized Official Contact | 6148362222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sedalia Dental - Dr. Katherine Carroll, Dmd, Inc. 5327 Hendron Rd Groveport OH 43125-1055 Ph: (614) 836-2222 | Sedalia Dental - Dr. Katherine Carroll, Dmd, Inc. 5327 Hendron Rd Groveport OH 43125-1055 Ph: (614) 836-2222 |
| NPI Number | 1942509179 |
|---|---|
| Provider Enumeration Date | 03/28/2011 |
| Last Update Date | 03/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942509179 | NPI | - | NPPES |
| 2981993 | Medicaid | OH | |
| 3060431 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30022948 (Ohio) | Primary |
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