Organization

Eastglen Dental Associates Scott Kelly Dds Llc

Dentist in Columbus, OH(View on Map)

Legal Business Name

Eastglen Dental Associates Scott Kelly Dds Llc

NPI Number

1871621854

NPI Type

Organization

Enumeration Date

03/01/2007

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

6465 E BROAD ST
6465 E BROAD ST

City

Columbus
Columbus

State

OH
OH

Postal Code

43213-1576
43213-1576

Country

US
US

Telephone Number

(614) 868-0808
(614) 868-0808

Authorized Official

Name

Scott Kelly

Title or Position

DENTIST

Telephone Number

(614) 491-5511

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

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