COLUMBUS PEDIATRIC DENTISTRY, P.C. (NPI# 1326254111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326254111 |
| Entity Type | Organization |
| Organization Name | COLUMBUS PEDIATRIC DENTISTRY, P.C. |
| Practice Address |
3158 N National Rd Columbus IN 47201-3170 |
| Practice Telephone | 8123760166 |
| Mailing Telephone | 8123760166 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PROF. MARVIN V PAVLOV (C.E.O.) |
| Authorized Official Telephone | 8123760166 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
3158 N NATIONAL RD |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47201-3170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730298571 | Hayley Heckman Pavlov | Dentist | 3158 N National Rd, Columbus, IN 47201-3170 | 2006-08-29 |
| 1891137865 | Columbus Advanced Family Dentistry | Dentist | 3158 N National Rd, Columbus, IN 47201-3170 | 2013-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389569 | Ryanne Nicole Slavens | Speech-Language Pathologist | 1974 Glenmoor Drive, Columbus, IN 47201 | 2020-09-08 |
| 1023670759 | Alisha Nicole Scoville | Counselor | 2630 22nd Street, Columbus, IN 47201 | 2019-07-02 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1881994176 | Terri Ann Brewer | Social Worker | 12000 W. Moores Vineyard Rd, Columbus, IN 47201 | 2010-11-02 |
| 1255654620 | The Kane Group LLC | Durable Medical Equipment & Medical Supplies | 927 Fourth Street, Columbus, IN 47201 | 2010-03-12 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| Find all providers in zip 47201 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275018582 | Jarrell Pediatric Dentistry, LLC | Dentist | 1538 13th Ave Ste 100, Columbus, GA 31901-1956 | 2018-10-02 |
| 1760863872 | Caadrian Norman | Dentist | 5770 N Hamilton Rd Ste A, Columbus, OH 43230 | 2015-06-15 |
| 1871971101 | Katherine Curtis Windham | Dentist | 300 Hospital Dr Ste 3, Columbus, MS 39705-1921 | 2015-05-06 |
| 1134495591 | Matthew Keller | Dentist | 4405 N Stadium Dr Ste B, Columbus, GA 31909-1884 | 2012-03-29 |
| 1518233550 | Karina Bogdasarova | Dentist | 2332 Hardesty Ct, Columbus, OH 43204-2841 | 2012-03-23 |
| 1245569516 | Hines Little Smiles | Dentist | 5715 N Hamilton Rd, Columbus, OH 43230-1325 | 2009-12-16 |
| 1770713869 | Daniel Bernard Claman | Dentist | 943 Manor Ln Apt F, Columbus, OH 43221-2444 | 2009-07-23 |
| 1912115056 | James Irvine Lopez | Dentist | 1834 Warm Springs Rd, Columbus, GA 31904-8029 | 2007-05-21 |
| 1750415444 | Carl David Bell | Dentist | 5485 W Carr Hill Rd, Columbus, IN 47201-4865 | 2007-03-15 |
| 1710011887 | David A Itkoff | Dentist | 4730 W Broad St, Lincoln Village Plaza, Columbus, OH 43228-1613 | 2007-03-14 |
| Find all providers in COLUMBUS | ||||
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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.