Provider Demographics
NPI:1649099813
Name:BRIAN C ADAMSKI DMD ENCOMPASS DENTAL STUDIO OF UPPER ARLINGTON LLC
Entity type:Organization
Organization Name:BRIAN C ADAMSKI DMD ENCOMPASS DENTAL STUDIO OF UPPER ARLINGTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MHA, MPH
Authorized Official - Phone:614-457-5745
Mailing Address - Street 1:308 CABOOSE LN
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-6527
Mailing Address - Country:US
Mailing Address - Phone:419-349-2718
Mailing Address - Fax:
Practice Address - Street 1:1880 MACKENZIE DR STE 120
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2956
Practice Address - Country:US
Practice Address - Phone:614-457-5745
Practice Address - Fax:614-457-5409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1912974320OtherNPPES
OH1649631433OtherNPPES
OH1578147047OtherNPPES