WEST BROAD DENTAL PARTNERS LLP (NPI# 1881208874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881208874 |
| Entity Type | Organization |
| Organization Name | WEST BROAD DENTAL PARTNERS LLP |
| Practice Address |
4089 W Broad St Columbus OH 43228-1614 |
| Practice Telephone | 6149540700 |
| Practice Fax Number | 6149540700 |
| Mailing Telephone | 6149540700 |
| Mailing Fax Number | 6149540700 |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2020-09-07 |
| Authorized Official Name | BRANDON CANFIELD (OWNER) |
| Authorized Official Telephone | 6149540700 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Comfort Dental West Broad | Doing Business As Name - Organization |
| Street Address |
4089 W BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43228-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
| 1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
| 1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
| 1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
| 1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
| 1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
| 1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
| Find all providers in zip 43228 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811597 | Whole Tree Dentistry, PC | Clinic/Center | 2400a Double Churches Rd, Columbus, GA 31909-2741 | 2019-10-02 |
| 1770138513 | Rdw2 Dental Group | Clinic/Center | 989 N 4th St, Columbus, OH 43201-3666 | 2019-08-08 |
| 1770142531 | James T. Mathias Dds Inc. | Clinic/Center | 1080 Polaris Pkwy Ste 220, Columbus, OH 43240-6035 | 2019-06-06 |
| 1376000224 | Kidsmiles Pediatric Dental Clinic | Clinic/Center | 770 Bethel Rd, Columbus, OH 43214-1900 | 2019-02-27 |
| 1467940627 | Ld-columbus LLC | Clinic/Center | 611 Leigh Dr, Columbus, MS 39705-3036 | 2018-04-24 |
| 1265885057 | Columbus Children's Dentistry Pllc | Clinic/Center | 106 Shult Dr Ste Ab, Columbus, TX 78934-3016 | 2016-07-18 |
| 1740629039 | Elegant Smiles Dentistry | Clinic/Center | 4775 Knights Bridge Blvd., Columbus, OH 43214 | 2013-06-19 |
| 1073814562 | Capstone Dental Snipes and Piper LLC | Clinic/Center | 10 N High St, Suite 403, Columbus, OH 43215-3496 | 2010-11-15 |
| 1194963181 | White River Dental LLC | Clinic/Center | 2459 W Jonathan Moore Pike, Columbus, IN 47201-9206 | 2009-01-28 |
| 1710130455 | Idealsmile | Clinic/Center | 2501 Whittlesey Blvd, Suite B, Columbus, GA 31909-3031 | 2008-10-28 |
| 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.