Provider Demographics
NPI:1952807984
Name:BARBARA L MCCLATCHIE
Entity Type:Organization
Organization Name:BARBARA L MCCLATCHIE
Other - Org Name:COMPLETE HEALTH DENTISTRY OF COLUMBUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCCLATCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-885-3602
Mailing Address - Street 1:350 W WILSON BRIDGE RD STE 320
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2217
Mailing Address - Country:US
Mailing Address - Phone:614-885-3602
Mailing Address - Fax:614-885-6085
Practice Address - Street 1:350 W WILSON BRIDGE RD STE 320
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2217
Practice Address - Country:US
Practice Address - Phone:614-885-3602
Practice Address - Fax:614-885-6085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0184081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty