DR. JERAD ALFRED SERVAIS (NPI# 1306337670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306337670 |
| Entity Type | Individual |
| Full Name | DR. JERAD ALFRED SERVAIS |
| Credential | DDS |
| Practice Address |
305 W 12 Ave Columbus OH 43210 |
| Mailing Address |
2301 Holmes St Kansas City MO 64108-2640 |
| Practice Telephone | 6146883763 |
| Mailing Telephone | 8164044175 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30.025848 | OH | Dental Providers |
| N | 122300000X | Dentist | 2018019103 | MO | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
305 W 12 AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210 |
| 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 | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| 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 |
| 1427548833 | Kevin Wilson | Dentist | 2034 Sturbridge Dr Apt B2, Columbus, OH 43209-4424 | 2018-05-11 |
| 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.