Provider Demographics
NPI:1578943064
Name:COMFORT DENTAL HILLIARD
Entity Type:Organization
Organization Name:COMFORT DENTAL HILLIARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:SLITER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-453-2806
Mailing Address - Street 1:3676 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026
Mailing Address - Country:US
Mailing Address - Phone:614-453-2806
Mailing Address - Fax:614-219-7229
Practice Address - Street 1:3676 MAIN ST
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026
Practice Address - Country:US
Practice Address - Phone:614-453-2806
Practice Address - Fax:614-219-7229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-01
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0244791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty