ELEGANT SMILES DENTISTRY (NPI# 1740629039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740629039 |
| Entity Type | Organization |
| Organization Name | ELEGANT SMILES DENTISTRY |
| Practice Address |
4775 Knights Bridge Blvd. Columbus OH 43214 |
| Practice Telephone | 6148245454 |
| Mailing Telephone | 6148245454 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |
| Authorized Official Name | DR. ALI KHAKSARFARD (DENTIST/OWNER) |
| Authorized Official Telephone | 6148245454 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
21821 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2417772 | 05 |
| Street Address |
4775 KNIGHTS BRIDGE BLVD. |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| 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 |
| 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 |
| 1063624393 | Charles A. Crawford D.d.s. | Clinic/Center | 1031 College Ave, Columbus, OH 43209-7801 | 2007-05-07 |
| 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.