Provider Demographics
NPI:1356458939
Name:CENTRAL OHIO ENDODONTICS
Entity Type:Organization
Organization Name:CENTRAL OHIO ENDODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.D.S., M.S.
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WHITCOMB JR.
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-885-1191
Mailing Address - Street 1:6827 NORTH HIGH STREET
Mailing Address - Street 2:SUITE 115
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085
Mailing Address - Country:US
Mailing Address - Phone:614-885-1191
Mailing Address - Fax:
Practice Address - Street 1:6827 NORTH HIGH STREET
Practice Address - Street 2:SUITE 115
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085
Practice Address - Country:US
Practice Address - Phone:614-885-1191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty