Michael C Soult DMD & Albert H Hackman III, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30-013986 Issued in OH

Legal business name

MICHAEL C SOULT DMD & ALBERT H HACKMAN III, INC.

Doing business as

Dental Reflections - Bethel

Practice address

974 Bethel Road
Suite E
Columbus, OH 43214

Phone

(614) 459-0011

Fax

(614) 459-0883

NPI assigned

Jun 8, 2007

Last updated

Oct 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael C Soult, D.M.D.NPI 1023106184

Title

President Owner

Phone

(614) 459-0011

Specialties & licenses 3

Addresses

Other names 1

• Dental Reflections - Bethel Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael C Soult, D.M.D.

  • Pediatric Dentistry
  • Columbus, OH
  • NPI 1023106184
  Authorized official Same address or phone

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1598968398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 BETHEL ROAD",
            "address_2": "SUITE E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43214",
            "telephone_number": "641-459-0011",
            "fax_number": "614-459-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 BETHEL ROAD",
            "address_2": "SUITE E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43214",
            "telephone_number": "614-459-0011",
            "fax_number": "614-459-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C SOULT DMD & ALBERT H HACKMAN III, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "SOULT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "614-459-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-021803",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30-013986",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30-020583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Reflections - Bethel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.