Blank Dental Management Co, LLC

NPI #1649057894 in Powell, Ohio

Provider Information

NPI Number: 1649057894
Entity Type: Organization
Organization Name: Blank Dental Management Co, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: BLANK DENTAL MANAGEMENT CO, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 12, 2023
Last Updated: Sep 12, 2023

Practice Location

Address: 9733 SAWMILL PKWY UNIT C
City: Powell
State: Ohio
ZIP Code: 43065-6101
Phone: (614) 764-1013

Authorized Official

Name: TYLER SHINKLE
Title: DIRECTOR OF OPERATIONS
Phone: (513) 368-2497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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