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Dr. Phillip T Latham, DDS
Oral and Maxillofacial Surgery (Dentist) in Columbus, Ohio
NPI 1437215308

Phillip T Latham is a Oral and Maxillofacial Surgery (Dentist) based in Columbus, OH and is specialized in Oral and Maxillofacial Surgery. Phillip T Latham practices in Columbus, OH and has the professional credentials of DDS. The NPI Number for Phillip T Latham is 1437215308 and holds a License No. 30013309 (Ohio).

The current practice location address for Phillip T Latham is 4488 W Broad St, Columbus, OH and can be reached out via phone at 614-878-7778 and via fax at 614-878-2725. You can also correspond with Phillip T Latham through the mailing address at 4488 W BROAD ST, COLUMBUS, OH - 43228-5610 (mailing address contact number: 614-878-7778).

Location: 4488 W Broad St, Columbus, OH, 43228-5610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437215308
Provider Name
Phillip T Latham
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4488 W Broad St, Columbus, OH, 43228-5610
Phone Number
614-878-7778
Fax Number
614-878-2725
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0417794 05 OH
000000116964 01 OH ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
4488 W Broad St
City
Columbus
State
Ohio
Zip
43228-5610
Phone Number
614-878-7778
Fax Number
614-878-2725
person
Provider Business Mailing Address Details
Address
4488 W Broad St
City
Columbus
State
Ohio
Zip
43228-5610
Phone Number
614-878-7778
Fax Number
614-878-2725
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
30013309 (Ohio)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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