DENTAL FACULTY PRACTICE ASSOC INC - PAUL S. CASAMASSIMO DDS (NPI# 1184005241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184005241 |
| Entity Type | Organization |
| Organization Name | DENTAL FACULTY PRACTICE ASSOC INC - PAUL S. CASAMASSIMO DDS |
| Practice Address |
305 W 12th Ave Postle Hall Room 4015 Columbus OH 43210-1267 |
| Practice Telephone | 6142921472 |
| Practice Fax Number | 6146883553 |
| Mailing Telephone | 6142921472 |
| Mailing Fax Number | 6146883553 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| Authorized Official Name | LINDA M MYERS (DIRECTOR) |
| Authorized Official Telephone | 6142921472 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
71.000244 | OH | Dental Providers |
| Street Address |
305 W 12TH AVE POSTLE HALL ROOM 4015 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861478398 | Mark G. Hochberg | Dentist | 305 W 12th Ave, Columbus, OH 43210 | 2005-12-16 |
| 1487271615 | Bilal Ibrahim | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-07-04 |
| 1023634474 | Bryce Woolsey | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-22 |
| 1578189189 | Michael Baily | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-19 |
| 1508481474 | Spencer Ross Bense | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-16 |
| 1326663279 | Claire Elizabeth Sesson | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-16 |
| 1669097523 | Rebecca Hermel | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-16 |
| 1356966212 | Arsen Melkonyan | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-16 |
| 1730705666 | Hannah Chase | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-16 |
| 1407470511 | Katelyn Hornbuckle Conley | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2020-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524477 | Katherine E. Ferry | Dentist | 4303 E Windsor Ln, Columbus, IN 47201-4022 | 2020-10-08 |
| 1194334136 | Nerea Robles-leyzaola | Dentist | 154 E Oakland Ave, Columbus, OH 43201-1209 | 2020-07-27 |
| 1639724438 | Vinayak Joshi | Dentist | 4103 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210-1267 | 2019-08-08 |
| 1972098432 | Ying Wang | Dentist | 305 W 12th Ave Fl 2, Columbus, OH 43210-1267 | 2018-06-27 |
| 1275932006 | Javier Sanz Moliner | Dentist | 103 Mansfield Rd E, Columbus, NJ 08022-2108 | 2014-08-18 |
| 1417290701 | Pin-chuang Lai | Dentist | 305 W 12th Ave Rm 2015, Columbus, OH 43210-1267 | 2013-04-04 |
| 1962614610 | Bruce A Boretsky Dmd, LLC | Dentist | 7310 N Lake Dr, Suite C, Columbus, GA 31909-2787 | 2007-05-04 |
| 1134341407 | Nichols Periodontics LLC | Dentist | 2401 5th Street North, Suite 2, Columbus, MS 39705 | 2007-05-03 |
| 1417022427 | Gregory Ellis Phillips | Dentist | 3180 Middle Dr, Columbus, IN 47203-2298 | 2006-11-22 |
| 1992890107 | Robert Aurelio Vazquez | Dentist | 3908 Rosemont Dr, Columbus, GA 31904-5626 | 2006-10-04 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on DENTAL FACULTY PRACTICE ASSOC INC - PAUL S. CASAMASSIMO DDS.
| 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.