Provider Demographics
NPI:1053425355
Name:PIMPO, MARGARET A (DDS)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:A
Last Name:PIMPO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:A
Other - Last Name:MEADOWS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:6160 GENDER RD
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-2054
Mailing Address - Country:US
Mailing Address - Phone:614-591-3522
Mailing Address - Fax:614-954-3411
Practice Address - Street 1:6160 GENDER RD
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-2054
Practice Address - Country:US
Practice Address - Phone:614-591-3522
Practice Address - Fax:614-954-3411
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0270131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
786923OtherUNITED CONCORDIA
CA1053425355Medicaid