Provider Demographics
NPI:1477002640
Name:CAROLYN D BEDNAR DDS INC
Entity type:Organization
Organization Name:CAROLYN D BEDNAR DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEDNAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-980-8747
Mailing Address - Street 1:12444 TEAL LN
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8496
Mailing Address - Country:US
Mailing Address - Phone:614-980-8747
Mailing Address - Fax:614-452-8098
Practice Address - Street 1:686 CORYLUS DR
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-7628
Practice Address - Country:US
Practice Address - Phone:614-980-8747
Practice Address - Fax:614-452-8098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-28
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty