Provider Demographics
NPI:1538159322
Name:PRESTON, JON T (MD)
Entity type:Individual
Prefix:
First Name:JON
Middle Name:T
Last Name:PRESTON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5350 FRANTZ RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4259
Mailing Address - Country:US
Mailing Address - Phone:614-544-6366
Mailing Address - Fax:614-544-6350
Practice Address - Street 1:111 S GRANT AVE
Practice Address - Street 2:3RD FL
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4701
Practice Address - Country:US
Practice Address - Phone:614-566-8808
Practice Address - Fax:614-566-9503
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2022-01-05
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Provider Licenses
StateLicense IDTaxonomies
OH35-061724207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology