COLUMBUS ADVANCED FAMILY DENTISTRY (NPI# 1891137865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891137865 |
| Entity Type | Organization |
| Organization Name | COLUMBUS ADVANCED FAMILY DENTISTRY |
| Practice Address |
3158 N National Rd Columbus IN 47201-3170 |
| Practice Telephone | 8126033996 |
| Practice Fax Number | 8123760459 |
| Mailing Telephone | 8126033996 |
| Mailing Fax Number | 8123760459 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |
| Authorized Official Name | PROF. MARVIN PAVLOV (CEO) |
| Authorized Official Telephone | 8126033996 |
| Authorized Official Credential | J.D., M.S., M.B. |
| Is Organization Subpart | Y |
| Parent Organization Name | COLUMBUS PEDIATRIC DENTISTRY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
13003577A | IN | Dental Providers |
| Street Address |
3158 N NATIONAL RD |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47201-3170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730298571 | Hayley Heckman Pavlov | Dentist | 3158 N National Rd, Columbus, IN 47201-3170 | 2006-08-29 |
| 1326254111 | Columbus Pediatric Dentistry, P.C. | Dentist | 3158 N National Rd, Columbus, IN 47201-3170 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389569 | Ryanne Nicole Slavens | Speech-Language Pathologist | 1974 Glenmoor Drive, Columbus, IN 47201 | 2020-09-08 |
| 1023670759 | Alisha Nicole Scoville | Counselor | 2630 22nd Street, Columbus, IN 47201 | 2019-07-02 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1881994176 | Terri Ann Brewer | Social Worker | 12000 W. Moores Vineyard Rd, Columbus, IN 47201 | 2010-11-02 |
| 1255654620 | The Kane Group LLC | Durable Medical Equipment & Medical Supplies | 927 Fourth Street, Columbus, IN 47201 | 2010-03-12 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| Find all providers in zip 47201 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960874 | William J. Lightfoot Dds, Ms, Inc | Dentist | 5151 Reed Rd Ste 127c, Columbus, OH 43220-2553 | 2020-07-31 |
| 1437170156 | Susan M Alexander | Dentist | 4321 41st Avenue, Columbus, NE 68602-1028 | 2006-07-21 |
| 1700865201 | Mark D Raisch | Dentist | 4501 N High St, Columbus, OH 43214-2637 | 2006-01-12 |
| 1003901059 | Homa Amini | Dentist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2006-10-04 |
| 1710071667 | Vanessa A Edwards-downer | Dentist | 2100 Comer Ave, Columbus, GA 31904-8725 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063904100 | Kokomo Pediatric Dentistry, LLC | Dentist | 2350 S Dixon Rd Ste 425, Kokomo, IN 46902-6422 | 2018-06-05 |
| 1205353802 | Lorie G Brinson, Dds, PC | Dentist | 3934 W 96th St Ste B, Indianapolis, IN 46268-2928 | 2017-08-24 |
| 1265805717 | Smile Academy of Kentucky | Dentist | 2776 Campion Road, Floyds Knobs, IN 47119 | 2015-11-05 |
| 1982986493 | Mark E Mallatt | Dentist | 1753 Esther Ct, Plainfield, IN 46168-9336 | 2011-09-12 |
| 1881906634 | Cratisa Latwann Caldwell | Dentist | 8151 E 21st St, Indianapolis, IN 46219 | 2010-07-09 |
| 1912067349 | Indiana University Northwest | Dentist | 3400 Broadway, Gary, IN 46408-1101 | 2006-12-08 |
| 1558450346 | James A Roberts | Dentist | 102 N Clark St, Auburn, IN 46706 | 2006-10-12 |
| 1134159676 | Vanderburgh County | Dentist | 612 Se 4th St, Evansville, IN 47713-1210 | 2006-07-03 |
| 1710927843 | Robert Mark Grace | Dentist | Community Health Center, 400 Teagarden, La Porte, IN 46350-3175 | 2006-06-07 |
| 1487262531 | Chloe Katherine Mounayar | Dentist | 1200 Andrew Ave, La Porte, IN 46350-5339 | 2020-07-15 |
| 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.