Provider Demographics
NPI:1609570795
Name:AFFORDABLE DENTURES - EAST COLUMBUS, HATIM LEGHUEL, BDS, INC.
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES - EAST COLUMBUS, HATIM LEGHUEL, BDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HATIM
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGHUEL
Authorized Official - Suffix:
Authorized Official - Credentials:BDS
Authorized Official - Phone:614-453-5510
Mailing Address - Street 1:5980 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-3378
Mailing Address - Country:US
Mailing Address - Phone:614-453-5510
Mailing Address - Fax:
Practice Address - Street 1:5980 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-3378
Practice Address - Country:US
Practice Address - Phone:614-453-5510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty