Provider Demographics
NPI:1427228972
Name:ORTHODONTIC CONCEPTS, INC. W.D. PLIKERD, DDS
Entity Type:Organization
Organization Name:ORTHODONTIC CONCEPTS, INC. W.D. PLIKERD, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:PLIKERD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:740-366-3309
Mailing Address - Street 1:974 N 21ST ST
Mailing Address - Street 2:A1
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-2990
Mailing Address - Country:US
Mailing Address - Phone:740-366-3309
Mailing Address - Fax:740-366-7534
Practice Address - Street 1:974 N 21ST ST
Practice Address - Street 2:A1
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-2990
Practice Address - Country:US
Practice Address - Phone:740-366-3309
Practice Address - Fax:740-366-7534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-011886261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6977259Medicaid