Provider Demographics
NPI:1093447815
Name:SARIOL GELL, IVON (DMD)
Entity Type:Individual
Prefix:DR
First Name:IVON
Middle Name:
Last Name:SARIOL GELL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:IVON
Other - Middle Name:
Other - Last Name:SARIOL GELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:481 REYNOLDS AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-4386
Mailing Address - Country:US
Mailing Address - Phone:786-531-6075
Mailing Address - Fax:
Practice Address - Street 1:305 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1267
Practice Address - Country:US
Practice Address - Phone:786-531-6075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-29
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL018002215204E00000X
OH0007051851223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery