Provider Demographics
NPI:1528027505
Name:BEKAL, ROSHNI (DDS)
Entity Type:Individual
Prefix:MISS
First Name:ROSHNI
Middle Name:
Last Name:BEKAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 NORTON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-1711
Mailing Address - Country:US
Mailing Address - Phone:614-870-3337
Mailing Address - Fax:614-870-3339
Practice Address - Street 1:17 NORTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-1711
Practice Address - Country:US
Practice Address - Phone:614-870-3337
Practice Address - Fax:614-870-3339
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30021724122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2462204Medicaid