BROOKE H. BULLER, DDS, LLC (NPI# 1770114159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770114159 |
| Entity Type | Organization |
| Organization Name | BROOKE H. BULLER, DDS, LLC |
| Practice Address |
255 Lincoln Cir Ste B Gahanna OH 43230-3514 |
| Mailing Address |
325 E Gates St Columbus OH 43206-3627 |
| Practice Telephone | 6144751874 |
| Mailing Telephone | 3302899099 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | DR. BROOKE BULLER (OWNER DENTIST) |
| Authorized Official Telephone | 3302899099 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Anderson Family Dental | Doing Business As Name - Organization |
| Street Address |
255 LINCOLN CIR STE B |
| City | GAHANNA |
| State | OH |
| Zip Code | 43230-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376806984 | Brooke Helaine Buller | Dentist | 255 Lincoln Cir Ste B, Gahanna, OH 43230-3514 | 2012-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518695 | Adonna Fuller | Technician | 14o Imperial Drive, Apt 120, Gahanna, OH 43230 | 2020-11-02 |
| 1407471733 | Brent Flory | Counselor | 425 South Hamilton, Gahanna, OH 43230 | 2020-06-12 |
| 1245865252 | Amy Marie Cosma | Registered Nurse | 750 Cross Pointe Road, Suite D, Gahanna, OH 43230 | 2020-03-10 |
| 1447718010 | Yolanda Renee Davis | Case Manager/Care Coordinator | 1490 E Main St., Columbus, OH 43230 | 2019-03-03 |
| 1699261537 | Cap City Supported Living & Homecare Services, LLC | Home Health | 2305 South Hamilton Road, Suite 216, Columbus, OH 43230 | 2018-07-03 |
| 1467957183 | Kendra Marie Peterson | Specialist/Technologist | 1011 Arcaro Drive, Gahanna, OH 43230 | 2018-03-26 |
| 1467956805 | Beatrice Njeri Gachoro | Registered Nurse | 4484 Shady Blossom Ln, Columbus, OH 43230 | 2018-03-21 |
| 1760900211 | Centra Home Health Care, LLC | Home Health | 4745 Legare Ln, Columbus, OH 43230 | 2017-09-05 |
| 1386164325 | Ziad Al Hennawi | Dentist | 4034 Morse Rd, Columbus, OH 43230 | 2017-06-21 |
| 1336675503 | Fresenius Medical Care New Albany, LLC | Clinic/Center | 991 E Johnstown Rd, Gahanna, OH 43230 | 2017-05-10 |
| Find all providers in zip 43230 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659888501 | Krothapalli Dental Group Gahanna LLC | Clinic/Center | 156 Granville St, Gahanna, OH 43230-6505 | 2018-01-01 |
| 1215229703 | Mark Levy Dds Inc | Clinic/Center | 925 N Hamilton Rd, Suite 200, Gahanna, OH 43230-8708 | 2011-05-03 |
| 1124150354 | John J. Patock, Dds, Inc | Clinic/Center | 1163 N Hamilton Rd, Gahanna, OH 43230-3452 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789777 | Jennifer A. Lowe-melzak, Dds, LLC | Clinic/Center | 3349 Whitfield Ave Ste 1, Cincinnati, OH 45220-2084 | 2020-10-29 |
| 1073120580 | Sunbury Dental Group Joseph W Papp Dds LLC | Clinic/Center | 450 S Miller Dr Ste 200, Sunbury, OH 43074-9024 | 2020-09-29 |
| 1093329914 | Travis Clark Dds LLC | Clinic/Center | 1248 Columbus Ave Ste 8, Lebanon, OH 45036-9005 | 2020-09-08 |
| 1336752344 | New Day Centerville LLC | Clinic/Center | 8340 Yankee St, Centerville, OH 45458-1808 | 2020-08-28 |
| 1891308029 | Magnolia Grove City LLC | Clinic/Center | 2053 Stringtown Rd, Grove City, OH 43123-2930 | 2020-08-27 |
| 1215549290 | Patel Family Dental LLC | Clinic/Center | 100 Scott Farms Blvd, Marysville, OH 43040-7069 | 2020-08-20 |
| 1245858083 | Jacko & Siefker Dds, LLC | Clinic/Center | 210 Heritage Dr, Wellington, OH 44090-8949 | 2020-07-08 |
| 1417572595 | Southern Ohio Mini Dental Implant Center | Clinic/Center | 41 E South St, Jackson, OH 45640-1638 | 2020-06-15 |
| 1508499567 | Westlake Endodontics LLC | Clinic/Center | 30400 Detroit Rd Ste 209, Westlake, OH 44145-1855 | 2020-02-18 |
| 1629617980 | Randall Niederkohr,d.d.s,inc. | Clinic/Center | 27 St Lawrence Dr Ste 109, Tiffin, OH 44883-8314 | 2020-01-03 |
| 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.