Mendieta, Llc is a Orthodontics and Dentofacial Clinic in Columbus, Ohio. It is located at 3079 W Broad St Ste 6, Columbus, OH and its contact number is 614-279-6481. The authorized person for Mendieta, Llc is Dr. Edgar Yahir Mendieta
who is Orthodontist of the clinic and their contact number is 310-592-2057. The primary license number for Mendieta, Llc is 30.022430 (Orthodontics and Dentofacial Orthopedics) in Ohio.
Mendieta, Llc Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Mendieta, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mendieta, Llc |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 3079 W Broad St Ste 6, Columbus,
Ohio, 43204-1397 |
| Phone: | 614-279-6481 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Edgar Yahir Mendieta |
| Position: | Orthodontist |
| Contact Number: | 310-592-2057 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mendieta, Llc clinic are as mentioned below.
| NPI Number: | 1851686562 |
| NPI Enumeration Date: | 10 Jun, 2011 |
| NPI Last Update On: | 10 Jun, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mendieta, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | 30.022430 | Ohio | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3147286 | Medicaid | Ohio | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mendieta, Llc
3079 W Broad St Ste 6,
Columbus, Ohio |
| Zip: | 43204-1397 |
| Phone Number: | 614-279-6481 |
Patients can reach Mendieta, Llc at
3079 W Broad St Ste 6, Columbus, Ohio or can
call to book an appointment on 614-279-6481.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.