Active NPI
Classic Mobile Dental Services-Cynthia Tufts White D.D.S., Inc
- General Practice Dentistry
- Columbus, OH
National Provider Identifier
1154532778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31.019945
- Legal business name
- CLASSIC MOBILE DENTAL SERVICES-CYNTHIA TUFTS WHITE D.D.S., INC
- Practice address
- 2213 Inchcliff Rd
Columbus, OH 43221-2715 - Phone
- (614) 395-1870
- Fax
- (614) 319-6144
- NPI assigned
- May 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cynthia Tufts White, DDS
- Title
- President, Owner
- Phone
- (614) 395-1870
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31.019945 | OH | Primary |
Addresses
Primary practice location
2213 Inchcliff Rd
Columbus, OH 43221-2715
Mailing address
PO Box 20671
Columbus, OH 43220-0671
Phone (614) 395-1870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0998443 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475625600000",
"number": "1154532778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20671",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432200671",
"telephone_number": "614-395-1870",
"fax_number": "614-319-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 INCHCLIFF RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432212715",
"telephone_number": "614-395-1870",
"fax_number": "614-319-6144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLASSIC MOBILE DENTAL SERVICES-CYNTHIA TUFTS WHITE D.D.S., INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2016-10-05",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "TUFTS",
"authorized_official_title_or_position": "PRESIDENT, OWNER",
"authorized_official_telephone_number": "614-395-1870",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "31.019945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0998443",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.