Provider Demographics
NPI:1053561258
Name:DUBLIN METRO DENTAL
Entity type:Organization
Organization Name:DUBLIN METRO DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APARNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SADINENI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-766-5600
Mailing Address - Street 1:572 METRO PL N
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-5317
Mailing Address - Country:US
Mailing Address - Phone:614-766-5600
Mailing Address - Fax:614-766-2600
Practice Address - Street 1:572 METRO PL N
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-5317
Practice Address - Country:US
Practice Address - Phone:614-766-5600
Practice Address - Fax:614-766-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300222801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2627616Medicaid