Provider Demographics
NPI:1063026912
Name:ALBERT-KLABUNDE-NAMETH DENTAL, LLC
Entity Type:Organization
Organization Name:ALBERT-KLABUNDE-NAMETH DENTAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATION
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-261-7210
Mailing Address - Street 1:4808 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1554
Mailing Address - Country:US
Mailing Address - Phone:614-261-7210
Mailing Address - Fax:614-261-7211
Practice Address - Street 1:4808 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1554
Practice Address - Country:US
Practice Address - Phone:614-261-7210
Practice Address - Fax:614-261-7211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty