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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIMITRIS N TATAKIS, DDS, PHD

Active

DIMITRIS N TATAKIS, DDS, PHD is a Periodontology healthcare provider located in COLUMBUS, Ohio. NPI 1215288493 is currently active in the NPPES registry. Verify at CMS.

Periodontology · COLUMBUS, OH

Registration Details

NPI Number
1215288493
Provider Type
Individual
Gender
Male
NPI Issued
Sep 27, 2012 (13.926603803856 yrs)
Last Updated
Sep 27, 2012
Licenses
48035 (CA)
00159 (OH)

Practice Information

Address
305 W 12TH AVE
PERIODONTOLOGY, COLLEGE OF DENTISTRY, OSU
COLUMBUS, OH, 432101267
Browse OH providers · Browse ZIP 43210
Phone
6142920371
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology

Other Periodontology Providers in COLUMBUS, OH

Name Credential NPI
DR. JEROME TABACCA D.D.S. 1942202163
DR. MARK RICHARD GORDON D.D.S. 1356365126
DR. JINOUS ESLAMI DDS 1982798542
DR. RONALD B GARVEY DDS 1124108907
JOHN DOUGLAS WALTERS D.D.S. 1194809897
DR. ANGELO J MARIOTTI DDS, PHD 1538237664
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.