I Am Boundless, Inc.

NPI #1033937156 in Worthington, Ohio

Provider Information

NPI Number
1033937156
Entity Type
Organization
Organization Name
I Am Boundless, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
I AM BOUNDLESS, INC.
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 27, 2024
Last Updated
Sep 27, 2024

Practice Location

Address
445 E DUBLIN GRANVILLE RD STE H
State
Ohio
ZIP Code
43085-3192
Phone
(614) 844-3800

Authorized Official

Name
LAURIE B HICKMAN
Title
CONTRACTING & CREDENTIALING MANAGER
Phone
(614) 844-3800

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental
Dentist - General PracticeGeneral Practice

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