Skip Navigation

Provider Information for 1164603338



JOHN C SEXTON

Gender: MALE

Individual NPI: 1164603338

Calendar Last Updated: 2007-11-16

Details

Name Value
NPI 1164603338
Enumeration Date 2007-11-16
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 1816 COLUMBUS PIKE
DELAWARE, OH 43015-2728
United States

Phone: 740-363-2080 | Fax:
View Map External Link
Primary Practice Address 1816 COLUMBUS PIKE
DELAWARE, OH 43015-2728
United States

Phone: 740-363-2080 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist OH 21545