South Central Endodontics in Columbus - Endodontics
South Central Endodontics - NPI 1922200567
South Central Endodontics is a Endodontics in Columbus, Indiana. South Central Endodontics practices all healthcare services and medical treatments related to Endodontics. The NPI Number for South Central Endodontics is 1922200567. The last update date is 2015-06-30.
South Central Endodontics's current location address is 3200 Middle Dr, Columbus, Indiana. You can contact this provider via phone number 8123723636 and fax number 8123783636. The mailing address for South Central Endodontics is 3200 Middle Dr, Columbus, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Central Endodontics |
|---|---|
| Address | 3200 Middle Dr, Columbus, Indiana |
| Phone Number | 8123723636 |
| Fax Number | 8123783636 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Keller E. Michael |
| Credentials | D.D.S. ,M. |
| Telephone Number | 8123723636 |
NPI Number Detail
| NPI Number | 1922200567 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2015-06-30 |
Provider Mailing Address Detail
| Address | 3200 Middle Dr |
|---|---|
| City | Columbus |
| State | Indiana (IN) |
| Post Code | 472034426 |
| Phone Number | 8123723636 |
| Fax Number | 8123783636 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 12008103B |
|
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 405356 | IN | UNITED CONCORDIA ID |
Post Comment/ Review Below
What is the unique identifier code issued to South Central Endodontics by the Centers for Medicare & Medicaid Services?
The South Central Endodontics has been assigned the NPI (National Provider Identifier) 1922200567. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where South Central Endodontics's facilities are situated?
The facilities of South Central Endodontics are physically located at the following address: 3200 Middle Dr, Columbus, IN, 472034426.
What is South Central Endodontics's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The South Central Endodontics's specialized field of practice is Endodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1922200567 to South Central Endodontics?
The South Central Endodontics received its 1922200567 assignment from the Centers for Medicare & Medicaid Services on 2007-06-05.
When was the information pertaining to South Central Endodontics most recently updated or revised?
The details related to South Central Endodontics, including its address, specialty, and other relevant information, were last updated or revised on 2015-06-30.