Provider Demographics
NPI:1891437562
Name:FRENCHRUN FAMILY DENTAL CARLY LOCSEY DDS LLC
Entity Type:Organization
Organization Name:FRENCHRUN FAMILY DENTAL CARLY LOCSEY DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-537-3146
Mailing Address - Street 1:1344 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2136
Mailing Address - Country:US
Mailing Address - Phone:614-866-1234
Mailing Address - Fax:614-866-0504
Practice Address - Street 1:1344 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2136
Practice Address - Country:US
Practice Address - Phone:614-866-1234
Practice Address - Fax:614-866-0504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty