Mark William Klabunde in Columbus - Periodontics

Mark William Klabunde - NPI 1972714657

Mark William Klabunde is a Periodontics in Columbus, Ohio. Mark William Klabunde practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mark William Klabunde is 1972714657. The last update date is 2007-07-08.

Mark William Klabunde's current location address is 170 Northwoods Blvd, Columbus, Ohio. You can contact this provider via phone number 6148888585 and fax number 6148880381. The mailing address for Mark William Klabunde is 170 Northwoods Blvd, Columbus, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark William Klabunde
Address 170 Northwoods Blvd, Columbus, Ohio
Phone Number 6148888585
Fax Number 6148880381
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1972714657
Provider Enumeration Date 2007-05-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 170 Northwoods Blvd
City Columbus
State Ohio (OH)
Post Code 432354711
Phone Number 6148888585
Fax Number 6148880381

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 16149
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Mark William Klabunde

What is the unique identifier code issued to Mark William Klabunde by the Centers for Medicare & Medicaid Services (CMS)?

The Mark William Klabunde has been assigned the NPI (National Provider Identifier) 1972714657. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Mark William Klabunde's facilities are situated?

The facilities of Mark William Klabunde are physically located at the following address: 170 Northwoods Blvd, Columbus, OH, 432354711.

What is Mark William Klabunde's area of expertise and its corresponding taxonomy classification?

The Mark William Klabunde's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.

On what date did Mark William Klabunde receive its 1972714657 assignment from the Centers for Medicare & Medicaid Services?

The Mark William Klabunde was assigned its 1972714657 on 2007-05-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Mark William Klabunde, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mark William Klabunde, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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