Primesource Healthcare Of Ohio, Inc
Dentist in Columbus, OH(View on Map)
Legal Business Name
Primesource Healthcare Of Ohio, Inc
NPI Number
1235304775
NPI Type
Organization
Enumeration Date
04/25/2008
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
2100 EAST LAKE COOK ROAD
4449 EASTON WAY
City
Buffalo Grove
Columbus
State
IL
OH
Postal Code
60089-1815
43219-6093
Country
US
US
Telephone Number
(847) 267-8200
(800) 317-0711
Authorized Official
Name
Mr. David Fleming
Title or Position
PRESIDENT & CEO
Telephone Number
(847) 267-8200
Identifiers
Identifier
2719062
Identifier State
OH
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/12/2011
Provider Address
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