Matthew Pingel DMD LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21882 Issued in OH

Legal business name

MATTHEW PINGEL DMD LLC

Practice address

1967 Newark Granville Rd
Granville, OH 43023-9172

Phone

(614) 915-5780

Fax

(866) 283-8621

NPI assigned

May 31, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Sheri Jolly

Title

Consultant

Phone

(614) 915-5780

Specialties & licenses 1

Addresses

Other names 1

• Granville Pediatric Dentistry Doing business as

Locations

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

{
    "created_epoch": "1433030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433030400000",
    "number": "1487034948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239172",
            "telephone_number": "614-915-5780",
            "fax_number": "866-283-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1967 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239172",
            "telephone_number": "614-915-5780",
            "fax_number": "866-283-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW PINGEL DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-31",
        "last_updated": "2015-05-31",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "614-915-5780",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "21882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granville Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Licking Memorial Professional Corporation
• Benjamin Lucas, AT
• Kelcie Lupher, QMHS
• Angela Lykins
• Alma Joy Maclean
• Kyle Matthewson, ATC
• Christine Mautz
• Marci McCaulay, PH.D.
• Cynthia McElroy, LISW
• Leslie McNemar, LMT

• Pediatric Dentistry in Granville, OH
• Providers in Granville, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.