OLLOM DENTAL GROUP, LLC (NPI# 1093222598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093222598 |
| Entity Type | Organization |
| Organization Name | OLLOM DENTAL GROUP, LLC |
| Other Organization Name | PURE SMILES |
| Practice Address |
1245 S Sunbury Rd Ste 201 Westerville OH 43081-9444 |
| Mailing Address |
7477 Ratchford Ct New Albany OH 43054-8970 |
| Practice Telephone | 6143928090 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | CHAD OLLOM (OWNER) |
| Authorized Official Telephone | 6145725600 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Pure Smiles | Doing Business As Name - Organization |
| Street Address |
1245 S SUNBURY RD STE 201 |
| City | WESTERVILLE |
| State | OH |
| Zip Code | 43081-9444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649525213 | Stephanie Marie Ollom | Dentist | 1245 S Sunbury Rd Ste 201, Westerville, OH 43081-9444 | 2012-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917643 | Cheryl Lynne Weitthoff | Home Health Aide | Cheryl Weitthoff, 33 Nadine Place South, Westerville, OH 43081 | 2020-09-18 |
| 1588274088 | Omer Mohamed | Respiratory Therapist, Certified | 5825 Leila Lane Unit 107, Westerville, OH 43081 | 2020-08-09 |
| 1932739174 | Norline E Ford | Counselor | 100 Dorchester Sq. Suite 102, Westerville, OH 43081 | 2020-01-15 |
| 1902444524 | Sabrina Shannon | Behavior Technician | 189 W. Schrock Road, Westerville, OH 43081 | 2019-12-13 |
| 1336786581 | New Horizon Home Health Care, LLC | Home Health | 635 Park Meadow Rd Ste 115, Unit B, Westerville, OH 43081 | 2019-12-06 |
| 1295389740 | Esther A Ogundare | Licensed Practical Nurse | 394 Naples Pl., Westerville, OH 43081 | 2019-08-01 |
| 1922580364 | Judith Luann Haynes | Nurse Practitioner | 620 S. Cleveland Ave, Westerville, OH 43081 | 2018-09-01 |
| 1851879878 | Erin Doone | Physical Therapist | 631 Copeland Mill Rd Ste B, Westerville, OH 43081 | 2018-08-01 |
| 1205312360 | Melissa Anderson | Counselor | 145 W Schrock Road, Westerville, OH 43081 | 2018-07-12 |
| 1407344963 | Hannah Tiberi | Nurse Practitioner | 410 Mary Ave, Westerville, OH 43081 | 2018-04-30 |
| Find all providers in zip 43081 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326407701 | Heidi A. Stauffer Dds | Dentist | 124 County Line Rd W, Suite A, Westerville, OH 43082 | 2016-02-15 |
| 1407118391 | Kenneth Corey Warden | Dentist | 631 Copeland Mill Rd Ste A, Westerville, OH 43081-8905 | 2012-06-15 |
| 1013232271 | Heartland Dental Care of Ohio,richard E. Workman, Dmd, PC | Dentist | 135 Hoff Rd, Westerville, OH 43082-8427 | 2010-03-31 |
| 1487810586 | Roger Edson Retherford | Dentist | 1219 County Line Rd, Westerville, OH 43081-6001 | 2008-07-29 |
| 1275721631 | Brian C. Stickel | Dentist | 877 Eastwind Dr, Westerville, OH 43081-3309 | 2007-10-11 |
| 1013126556 | Katherine Michelle Brownson | Dentist | 799 Eastwind Dr, Westerville, OH 43081-3303 | 2007-05-22 |
| 1497977698 | Carlos Romon Stone | Dentist | 1188 County Line Rd, Westerville, OH 43081-6015 | 2007-05-03 |
| 1497879332 | Michael J Bezbatchenko | Dentist | 149 W Schrock Rd, Westerville, OH 43081-2831 | 2007-03-17 |
| 1487794004 | Bradley J. Fulton | Dentist | 124 County Line Rd W, Ste. A, Westerville, OH 43082-7231 | 2007-02-07 |
| 1053476390 | Larry Devese | Dentist | 105 Commerce Park Dr Ste B, Westerville, OH 43082-6060 | 2006-12-27 |
| Find all providers in WESTERVILLE | ||||
| City | WESTERVILLE |
| Zip Code | 43081 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.