Dental Faculty Practice Assoc Inc - Paul S. Casamassimo DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

71.000244 Issued in OH

Legal business name

DENTAL FACULTY PRACTICE ASSOC INC - PAUL S. CASAMASSIMO DDS

Practice address

305 W 12TH Ave
Postle Hall Room 4015
Columbus, OH 43210-1267

Phone

(614) 292-1472

Fax

(614) 688-3553

NPI assigned

Jun 15, 2015

Organization subpart

No

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

Authorized official

Name

Linda M Myers

Title

Director

Phone

(614) 292-1472

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John R. Kalmar

  • Oral and Maxillofacial Pathology Dentistry
  • Columbus, OH
  • NPI 1952464109
  NPD

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1184005241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W 12TH AVE",
            "address_2": "POSTLE HALL ROOM 4015",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-292-1472",
            "fax_number": "614-688-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 12TH AVE",
            "address_2": "POSTLE HALL ROOM 4015",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-292-1472",
            "fax_number": "614-688-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL FACULTY PRACTICE ASSOC INC - PAUL S. CASAMASSIMO DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "614-292-1472"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "71.000244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanetta Stephenie Dent, LPN
• Tikia Michelle Dent, RN
• Dental 2000
• Dental Associates LM Shell DDS & Wa Records DDS Inc
• Dental Clinics College of Dentistry
• Dental Services of Ohio
• Dawn R. Denton, APRN-CNP
• Elisabeth Grace Denton, LPCC-S
• Cynthia Lynn Denzer, LPN
• Milind S. Deogaonkar, MD

• Periodontics in Columbus, OH
• Providers in Columbus, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.