Provider Demographics
NPI:1235148321
Name:MERION VILLAGE DENTAL, VESHA & JANIKIAN, L.L.C.
Entity Type:Organization
Organization Name:MERION VILLAGE DENTAL, VESHA & JANIKIAN, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:A
Authorized Official - Last Name:JANIKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-443-4400
Mailing Address - Street 1:1250 S HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-3446
Mailing Address - Country:US
Mailing Address - Phone:614-443-4400
Mailing Address - Fax:614-443-8335
Practice Address - Street 1:1250 S HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-3446
Practice Address - Country:US
Practice Address - Phone:614-443-4400
Practice Address - Fax:614-443-8335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH195911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty