Blue Jackets Braces
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Delaware, OH
NPI 1972060408 · NPPES record last updated Feb 20, 2019
Key facts
- NPI
- 1972060408
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- Legal business name
- BLUE JACKETS BRACES
- Practice address
- 1175 Columbus Pike
Delaware, OH 43015-2713 - Phone
- (740) 293-0178
- NPI assigned
- Feb 20, 2019
- Organization subpart
- No
Authorized official
- Name
- Brian Dean
- Title
- Administrator
- Phone
- (614) 706-5206
National Provider Directory
Locations
1175 Columbus Pike
Delaware, OH 43015
Phone (740) 293-0178
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | Yes |
Addresses
Primary practice location
1175 Columbus Pike
Delaware, OH 43015-2713
Mailing address
1175 Columbus Pike
Delaware, OH 43015-2713
Other providers in Delaware, OH
- David J Blair
- Stacy L Blair
- Kathleen Degroft Blake
- Scott Jeffrey Blanchard
- Andrea Kay Bledsoe
- Sheila Blue
- Boahen Healthcare Services LLC
- Juliana Boateng
- Bog Home Health LLC
- Kyle D Bogan
All providers in Delaware, OH · Orthodontics and Dentofacial Orthopedics Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.