Provider Demographics
NPI:1942589981
Name:SAWMILL DENTAL PARTNERS,LLP
Entity Type:Organization
Organization Name:SAWMILL DENTAL PARTNERS,LLP
Other - Org Name:COMFORT DENTAL SAWMILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:BECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:740-386-6600
Mailing Address - Street 1:6301 SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1471
Mailing Address - Country:US
Mailing Address - Phone:740-386-6600
Mailing Address - Fax:740-386-6602
Practice Address - Street 1:6301 SAWMILL RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1471
Practice Address - Country:US
Practice Address - Phone:740-386-6600
Practice Address - Fax:740-386-6602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-198411223G0001X
OH30-0230421223G0001X
OH30-0230601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2708234Medicaid
OH3002959Medicaid
OH3007847Medicaid