EASTGLEN DENTAL ASSOCIATES SCOTT KELLY DDS LLC


Address: 6465 E Broad St, Columbus, OH 43213-1576
Phone: 6148680808

EASTGLEN DENTAL ASSOCIATES SCOTT KELLY DDS LLC (NPI# 1871621854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871621854
Entity Type Organization
Organization Name EASTGLEN DENTAL ASSOCIATES SCOTT KELLY DDS LLC
Practice Address 6465 E Broad St
Columbus
OH 43213-1576
Practice Telephone 6148680808
Mailing Telephone 6148680808
Enumeration Date 2007-03-01
Last Update Date 2020-08-22
Authorized Official Name SCOTT KELLY (DENTIST)
Authorized Official Telephone 6144915511
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Office Location

Street Address 6465 E BROAD ST
City COLUMBUS
State OH
Zip Code 43213-1576

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487652913 Denric Columbus East LLC Radiology 6465 E Broad St, Ste 210, Columbus, OH 43213-1576 2005-07-08
1578070421 Krothapalli Dental Group Columbus LLC Clinic/Center 6465 E Broad St, Columbus, OH 43213-1576 2018-01-01
1003211525 Heather Witt Physical Therapist 6465 E Broad St, Columbus, OH 43213-1576 2014-10-27
1073941779 Eve Ciacciarelli Physical Therapist 6465 E Broad St, Columbus, OH 43213-1576 2013-10-16
1346499704 Erin Pulcini Physical Therapist 6465 E Broad St, Suite B, Columbus, OH 43213-1576 2008-09-10
1114104247 Maria Rochene Akiatan Physical Therapist 6465 E Broad St, Suite B, Columbus, OH 43213-1576 2008-01-31
1801015516 Horizon Open Mri - Columbus East Radiology 6465 E Broad St, Ste 210, Columbus, OH 43213-1576 2007-04-24
1518080720 Jerry M Benis Dentist 6465 E Broad St, Suite C, Columbus, OH 43213-1576 2007-04-10
1134185788 Asif Q Qazi Internal Medicine 6465 E Broad St, Suite D, Columbus, OH 43213-1576 2006-04-24
1356327647 Monika J Patel Internal Medicine 6465 E Broad St, Suite D, Columbus, OH 43213-1576 2005-12-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952917973 Complete Care for Women Obstetrics & Gynecology 99 North Brice Rd, Suite 320, Columbus, OH 43213 2020-09-16
1255963708 Icare Health & Wellness Medical Center, LLC Counselor 3242 E Main St, 2nd Floor, Columbus, OH 43213 2020-02-12
1588133011 Robert Acheampong-imbeah Case Manager/Care Coordinator 3616 Eastwood Park, Whitehall, OH 43213 2018-11-14
1174017248 Faatimah Sabir Case Manager/Care Coordinator 3616 East Main Street, Whitehall, OH 43213 2018-06-21
1639663123 Reachcare Pharmacy Services LLC Pharmacy 4513 E Main St, Columbus, OH 43213 2018-06-18
1245729516 Dominique Oswalt Case Manager/Care Coordinator 4111 Elbern Ave, Whitehall, OH 43213 2018-05-02
1326540865 Jmkennedy LLC Magnum Np Nursing Care 6365 Plankton Dr, Columbus, OH 43213 2018-03-01
1477051647 Inner Health Chiropractic North, LLC Chiropractor Inner Health Chiropractic, 3321 East Broad Street, Columbus, OH 43213 2018-01-23
1902319213 Mary H Taylor Massage Therapist 6100 E. Main St., Suite 110, Columbus, OH 43213 2017-11-08
1407384548 Lashaunta R Davidson Licensed Practical Nurse 4040 E. Broad Street, Whitehall, OH 43213 2017-06-02
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942825815 James Zaiger Dentist 73 W 5th Ave, Columbus, OH 43201-3218 2020-06-16
1831713015 Matthew T Chaney Dentist 720 W 3rd Ave Apt 207, Columbus, OH 43212-3157 2020-06-03
1306477641 Kyung H Min Dentist 3456 Shattuck Ave, Columbus, OH 43220-5036 2020-01-27
1861033326 Cintia Carina Mujica Dentist 2416 Adams Ave, Columbus, OH 43202-3002 2019-10-04
1346898525 Yuan-lynn Hsieh Dentist 305 W 12th Ave Rm 3005g, Columbus, OH 43210-1267 2019-08-30
1427619147 Michelle Tsai Dentist 4770 Indianola Ave Ste 100, Columbus, OH 43214-1861 2019-06-24
1609432780 Jessica Lindamood Dentist 1151 Bethel Rd Ste 301, Columbus, OH 43220-2775 2019-05-14
1912563123 Jamal Latif Dentist 1010 Bethel Rd, Columbus, OH 43214-1908 2019-05-13
1538638226 Joen M Iannucci Dentist 305 W 12th Ave Rm 4171, Columbus, OH 43210-1267 2018-11-26
1306337670 Jerad Alfred Servais Dentist 305 W 12 Ave, Columbus, OH 43210 2018-05-22
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Competitor

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City COLUMBUS
Zip Code 43213

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Dataset Information

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.

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