Mid Ohio Dental Associates is a Dental Clinic in Columbus, Ohio. It is located at 1206 W Broad St, Columbus, OH and its contact number is 614-279-9204. The authorized person for Mid Ohio Dental Associates is Jack D Castilla
who is Dentist Owner of the clinic and their contact number is 614-279-9204. The primary license number for Mid Ohio Dental Associates is 30016727 (Dentist) in Ohio. Mid Ohio Dental Associates Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Mid Ohio Dental Associates Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mid Ohio Dental Associates
Specialization:
Dentistry
Clinic Address:
1206 W Broad St, Columbus, Ohio, 43222
Phone:
614-279-9204
Fax:
614-279-9208
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:
Jack D Castilla
Position:
Dentist Owner
Contact Number:
614-279-9204
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 Mid Ohio Dental Associates clinic are as mentioned below.
NPI Number:
1619086717
NPI Enumeration Date:
30 Aug, 2006
NPI Last Update On:
15 Feb, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mid Ohio Dental Associates are as mentioned below.
Specialization
License Number
State
Status
Dentist
30016727
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
9180566
Other
Ohio
Molina Health
2210039
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:
Mid Ohio Dental Associates 1206 W Broad St, Columbus, Ohio
Zip:
43222
Phone Number:
614-279-9204
Fax Number:
614-279-9208
Patients can reach Mid Ohio Dental Associates at 1206 W Broad St, Columbus, Ohio or can call to book an appointment on 614-279-9204. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.