Provider Demographics
NPI:1114654290
Name:HAID & JOHNSON
Entity Type:Organization
Organization Name:HAID & JOHNSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-594-2002
Mailing Address - Street 1:3391 FARM BANK WAY
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-1973
Mailing Address - Country:US
Mailing Address - Phone:614-594-2002
Mailing Address - Fax:614-594-0313
Practice Address - Street 1:3391 FARM BANK WAY
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-1973
Practice Address - Country:US
Practice Address - Phone:614-594-2002
Practice Address - Fax:614-594-0313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty