COLUMBUS ENDODONTIC SPECIALISTS (NPI# 1609421684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609421684 |
| Entity Type | Organization |
| Organization Name | COLUMBUS ENDODONTIC SPECIALISTS |
| Practice Address |
7334 E Broad St Ste C Blacklick OH 43004-9239 |
| Practice Telephone | 6145771100 |
| Practice Fax Number | 6145771348 |
| Mailing Telephone | 6145771100 |
| Mailing Fax Number | 6145771348 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | MRS. LISA K HUNTER (OFFICE MANAGER) |
| Authorized Official Telephone | 6145771100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| John J Haidet,DDS,MS&Louis W. Susi,DDSMS.INC& Daniel S Stentz,DDS,MS. | Other Name - Individual/Organization |
| Street Address |
7334 E BROAD ST STE C |
| City | BLACKLICK |
| State | OH |
| Zip Code | 43004-9239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919191 | Deborah Byrd | Homemaker | 1571 Morrison Farms Dr, Blacklick, OH 43004 | 2020-10-12 |
| 1477106706 | Star of The East Home Health Agency | Home Health | 634 Streamwater Dr, Blacklick, OH 43004 | 2019-07-16 |
| 1568965689 | Amerti Mekonnen Terefe | Registered Nurse | 579 Altona Drive, Blacklick, OH 43004 | 2018-03-15 |
| 1134643471 | Gahanna Home Healthcare Agency, LLC | Private Vehicle | 7451 Bunker Ridge Ct, Blacklick, OH 43004 | 2017-07-28 |
| 1770972143 | Aetna Provider Service | In Home Supportive Care | 8514 Arlen Drive, Blacklick, OH 43004 | 2015-01-22 |
| 1295134666 | Elisee Ndenga | Contractor | 442 Stone Shadow Dr, Blacklick, OH 43004 | 2014-08-21 |
| 1215368121 | Stacia Barnhill | Home Health Aide | 215 Bexhill Dr, Blacklick, OH 43004 | 2013-12-02 |
| 1720328016 | Roland Lovinsky | Licensed Practical Nurse | 7795 Worley Drive, Blacklick, OH 43004 | 2013-02-22 |
| 1477815892 | Kingsley Eyong Enow | Licensed Practical Nurse | 301 Heatherbridge Lane, 301 Heatherbridge Lane, Blacklick, OH 43004 | 2012-06-12 |
| 1013208271 | Wilberforce Eric Okotah | Licensed Practical Nurse | 7928 Waggoner Trace Drive, Blacklick, OH 43004 | 2011-04-22 |
| Find all providers in zip 43004 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477688653 | Louis W Susi | Dentist | 7334 E Broad St, Suite C, Blacklick, OH 43004-9239 | 2007-02-21 |
| 1578654687 | John J Haidet | Dentist | 7334 E Broad St, Suite C, Blacklick, OH 43004-9239 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831745868 | Iman Attar | Dentist | 2828 Euclid Ave Apt 207, Cleveland, OH 44115-2470 | 2019-08-15 |
| 1336619873 | Alvaro Rodriguez | Dentist | 26200 George Zeiger Dr Apt 303, Beachwood, OH 44122-7533 | 2018-11-27 |
| 1942725551 | Meckler Dental Providers, Inc. | Dentist | 3455 Center Rd, Brunswick, OH 44212-3688 | 2017-08-04 |
| 1023532421 | Ddc Endodontics LLC | Dentist | 23250 Mercantile Rd Ste 110, Beachwood, OH 44122-5928 | 2017-07-28 |
| 1912428228 | Ghaeth H Yassen | Dentist | 2124 Cornell Drive, Cwru School of Dental Medicine, Cleveland, OH 44106 | 2017-06-28 |
| 1518401108 | Lev, Berberich, Stabile, Direnzo Ltd | Dentist | 8740 E Market St, Warren, OH 44484-2324 | 2016-12-15 |
| 1003359258 | Paul F Siegel Dds Inc | Dentist | 9403 Kenwood Rd Ste B205, Blue Ash, OH 45242-6829 | 2016-11-21 |
| 1346796869 | Professional Dental Alliance Specialty, LLC | Dentist | 7131 Spring Meadows Dr W, Suite C, Holland, OH 43528-7939 | 2016-08-26 |
| 1669847463 | Magdy Beshay | Dentist | 1129 E Aurora Rd Ste 102, Macedonia, OH 44056-1988 | 2015-12-04 |
| 1215314240 | Beavercreek Endodontics- Emily Lammers Dds Ms Inc. | Dentist | 1555 Marsetta Dr, Beavercreek, OH 45432-2732 | 2015-04-28 |
| Find all providers with the same taxonomy | ||||
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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.