Mid Ohio Dental Associates is a Dental Clinic in Columbus, Ohio. It is located at 3079 W. Broad Ste Suite 7, Columbus, OH and its contact number is 614-279-9204. The authorized person for Mid Ohio Dental Associates is Jack Daniel Castilla
who is Dentist 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: | 3079 W. Broad Ste Suite 7, Columbus, Ohio, 43204 |
| 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 Daniel Castilla |
| Position: | Dentist |
| 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: | 02 Sep, 2025 |
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 |
| 2210039 | Medicaid | Ohio | |
| 9180566 | Other | Ohio | Molina Health |
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 3079 W. Broad Ste Suite 7, Columbus, Ohio |
| Zip: | 43204 |
| Phone Number: | 614-279-9204 |
| Fax Number: | 614-279-9208 |
Patients can reach Mid Ohio Dental Associates at
3079 W. Broad Ste Suite 7, Columbus, Ohio or can
call to book an appointment on 614-279-9204.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.