Provider Demographics
NPI:1891039483
Name:GROVE CITY DENTAL PARTNERS, LLP
Entity Type:Organization
Organization Name:GROVE CITY DENTAL PARTNERS, LLP
Other - Org Name:COMFORT DENTAL GROVE CITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BIKRAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:MALHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-875-1100
Mailing Address - Street 1:2196 STRINGTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2929
Mailing Address - Country:US
Mailing Address - Phone:614-875-1100
Mailing Address - Fax:614-875-5790
Practice Address - Street 1:2196 STRINGTOWN RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-2929
Practice Address - Country:US
Practice Address - Phone:614-875-1100
Practice Address - Fax:614-875-5790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300234511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3157462Medicaid