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Marcio A Dafonseca, DDS
Pediatric Dentist in Columbus, Ohio
NPI 1548353295

Marcio A Dafonseca is a Pediatric Dentist based in Columbus, OH and is specialized in Pediatric Dentistry. Marcio A Dafonseca practices in Columbus, OH and has the professional credentials of DDS. The NPI Number for Marcio A Dafonseca is 1548353295 and holds a License No. 71000193 (Ohio).

The current practice location address for Marcio A Dafonseca is 555 S. 18Th Street, Columbus, OH and can be reached out via phone at 614-722-4579 and via fax at 614-722-4565.

Location: 555 S. 18Th Street, Columbus, OH, 43205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548353295
Provider Name
Marcio A Dafonseca
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
555 S. 18Th Street, Columbus, OH, 43205
Phone Number
614-722-4579
Fax Number
614-722-4565
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0243972 05 OH
institution
Provider Business Practice Location Address Details
Address
555 S. 18Th Street
City
Columbus
State
Ohio
Zip
43205
Phone Number
614-722-4579
Fax Number
614-722-4565
person
Provider Business Mailing Address Details
Address
555 S. 18Th Street
City
Columbus
State
Ohio
Zip
43205
Phone Number
614-722-4579
Fax Number
614-722-4565
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
71000193 (Ohio)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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