| West Broad Dental, Sean R Bates Dds, Inc | |
|
5212 W Broad St Columbus OH 43228-1642 | |
| (614) 870-8474 | |
| (614) 870-8475 |
| Full Name | West Broad Dental, Sean R Bates Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5212 W Broad St, Columbus, Ohio |
| Authorized Official Name and Position | Sean R Bates (OWNER/ DENTIST) |
| Authorized Official Contact | 6148708474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Broad Dental, Sean R Bates Dds, Inc 5212 W Broad St Columbus OH 43228-1642 Ph: (614) 870-8474 | West Broad Dental, Sean R Bates Dds, Inc 5212 W Broad St Columbus OH 43228-1642 Ph: (614) 870-8474 |
| NPI Number | 1669893756 |
|---|---|
| Provider Enumeration Date | 12/17/2013 |
| Last Update Date | 12/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669893756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22264 (Ohio) | Primary |
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