Paulo Victor Mendes Penafort, DDS, MS, PHD

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

RES.005154 Issued in OH

Practice address

305 W 12TH Ave
Columbus, OH 43210-1267

Phone

(614) 292-6577

Fax

(614) 292-9384

NPI assigned

Aug 11, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1497670491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W 10TH AVE UNIT 25B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432017032",
            "telephone_number": "614-641-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 12TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-292-6577",
            "fax_number": "614-292-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDES PENAFORT",
        "first_name": "PAULO VICTOR",
        "credential": "DDS, MS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "OH",
            "license": "RES.005154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Allan Mendel, MD
• Eliezer Mendelev, MD
• Jerry R Mendell, MD
• Blue Marie Mendenhall
• Dax Mendenhall
• Shanon Lea Mendes, LISW
• Abigail Mendez Perez
• Mynor Mendez Valdez, MD
• Aysha D Mendez, QMHS 3YRS CMS
• Robert William Mendicino, D.P.M.

• Oral and Maxillofacial Pathology Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• Oral and Maxillofacial Pathology Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.