Westerville Dental Associates Brian C Stickel DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

30019912 Issued in OH

Legal business name

WESTERVILLE DENTAL ASSOCIATES BRIAN C STICKEL DDS INC

Practice address

627 Office Pkwy Ste a
Westerville, OH 43082-7988

Phone

(614) 882-1135

Fax

(614) 882-4911

NPI assigned

Oct 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian C Stickel, DDS

Title

Owner

Phone

(614) 882-1135

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1962599381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 OFFICE PKWY STE A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827988",
            "telephone_number": "614-882-1135",
            "fax_number": "614-882-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 OFFICE PKWY STE A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827988",
            "telephone_number": "614-882-1135",
            "fax_number": "614-882-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERVILLE DENTAL ASSOCIATES BRIAN C STICKEL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "STICKEL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-882-1135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30019912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Westerville Chiropractic, Inc.
• Westerville City School District
• Westerville Counseling and Wellness
• Westerville Dental Associates LLC - Sue Y Choi DDS & Yuchan K Son DDS
• Westerville Dental Studio
• Westerville Dermatology, Inc.
• Westerville Endoscopy Center LLC
• Westerville Eyecare Inc

• Dentist in Westerville, OH
• Providers in Westerville, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.