Park Dental Plain City, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PARK DENTAL PLAIN CITY, LLC

Practice address

500 S Jefferson Ave
Plain City, OH 43064-4137

Phone

(614) 733-0800

NPI assigned

Oct 1, 2026

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Siddhi Patel, DDS

Title

Owner

Phone

(614) 890-0510

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1063326460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S JEFFERSON AVE",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430644137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S JEFFERSON AVE",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430644137",
            "telephone_number": "614-733-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL PLAIN CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SIDDHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-890-0510",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.