Arch City Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15684 Issued in OH

Legal business name

ARCH CITY DENTAL, LLC

Practice address

6343 Presidential Gateway
Suite 100
Columbus, OH 43231

Phone

(614) 891-7075

Fax

(614) 891-6033

NPI assigned

Jan 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Bruce C. Baloy, DDS

Title

Owner

Phone

(614) 891-7075

Specialties & licenses 2

Addresses

Other names 1

• Northeast Family Dental, LLC Former legal business name

Locations

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1134467145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 PRESIDENTIAL GATEWAY",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43231",
            "telephone_number": "614-891-7075",
            "fax_number": "614-891-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 PRESIDENTIAL GATEWAY",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43231",
            "telephone_number": "614-891-7075",
            "fax_number": "614-891-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH CITY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "BALOY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-891-7075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15684",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Family Dental, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Luciana Arcamo
• Kyle Arcaro
• Mauricio Arce Villalobos, MD
• Erick A Arce, MD
• Arch Angel Services
• Arch Health & Rehab Center, LLC
• Rebecca Sinard Arch, MD, MPH
• Deanne Archambeau
• Chad Archdeacon, MD
• Christopher Archer, DMD

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.