Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Primesource Healthcare of Ohio, Inc

Organization Dentist · NPI 1033245824

Primesource Healthcare of Ohio, Inc is a Dentist in Columbus, Ohio. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4449 Easton Way Fl 2
Columbus, OH 43219-6093
Phone: (800) 317-0711
Fax: (847) 267-9440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X
Dentist Taxonomy 122300000X
Optometrist Taxonomy 152W00000X
Audiologist Taxonomy 231H00000X

Record details

NPI number1033245824
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Fleming — President & Ceo · (847) 267-8200
NPI enumeratedFebruary 26, 2007
Last updated in NPPESOctober 11, 2011
Mailing address2100 East Lake Cook Road, Suite 1100, Buffalo Grove, IL 60089-1815

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