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Dr. Jerome Tabacca, DDS
Periodontist in Columbus, Ohio
NPI 1942202163

Jerome Tabacca is a Periodontist based in Columbus, OH and is specialized in Periodontics. Jerome Tabacca practices in Columbus, OH and has the professional credentials of DDS. The NPI Number for Jerome Tabacca is 1942202163 and holds a License No. OH14335 (Ohio).

The current practice location address for Jerome Tabacca is 1707 Bethel Rd, Columbus, OH and can be reached out via phone at 614-459-0050 and via fax at 614-459-1955.

Location: 1707 Bethel Rd, Columbus, OH, 43220-1810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942202163
Provider Name
Jerome Tabacca
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1707 Bethel Rd, Columbus, OH, 43220-1810
Phone Number
614-459-0050
Fax Number
614-459-1955
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
432538 01 WV UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
1707 Bethel Rd
City
Columbus
State
Ohio
Zip
43220-1810
Phone Number
614-459-0050
Fax Number
614-459-1955
person
Provider Business Mailing Address Details
Address
1707 Bethel Rd
City
Columbus
State
Ohio
Zip
43220-1810
Phone Number
614-459-0050
Fax Number
614-459-1955
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
OH14335 (Ohio)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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