Provider Demographics
NPI:1407489180
Name:SPLENDENTAL INC.
Entity Type:Organization
Organization Name:SPLENDENTAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NARTKER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:614-588-0678
Mailing Address - Street 1:4661 SAWMILL RD STE 102
Mailing Address - Street 2:
Mailing Address - City:UPPER ARLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43220-6123
Mailing Address - Country:US
Mailing Address - Phone:614-588-0678
Mailing Address - Fax:614-588-8711
Practice Address - Street 1:4661 SAWMILL RD STE 102
Practice Address - Street 2:
Practice Address - City:UPPER ARLINGTON
Practice Address - State:OH
Practice Address - Zip Code:43220-6123
Practice Address - Country:US
Practice Address - Phone:614-588-0678
Practice Address - Fax:614-588-8711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-20
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
14151803OtherCAQH