Ohio Dental Professionals, Delisle, P.c.

NPI #1972201762 in Powell, Ohio

Provider Information

NPI Number: 1972201762
Entity Type: Organization
Organization Name: Ohio Dental Professionals, Delisle, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: OHIO DENTAL PROFESSIONALS, DELISLE, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 21, 2023
Last Updated: Feb 21, 2023

Practice Location

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

Authorized Official

Name: HILLARY THULL
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8946

Specialties & Taxonomy Codes

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

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