Provider Demographics
NPI:1659010346
Name:DRILLER, SAVANA SHALEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAVANA
Middle Name:SHALEE
Last Name:DRILLER
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 1:2550 ASCHINGER BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-4606
Mailing Address - Country:US
Mailing Address - Phone:513-349-5819
Mailing Address - Fax:
Practice Address - Street 1:6750 AVERY MUIRFIELD DR STE B
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1230
Practice Address - Country:US
Practice Address - Phone:614-789-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0267911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice