Organization Active NPI

Javod K Gol DDS PC

Doing business as Precision Dentistry

  • General Practice Dentistry
  • Columbia, MD
National Provider Identifier
1659816254
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15417 Issued in MD
Legal business name
JAVOD K GOL DDS PC
Doing business as
Precision Dentistry
Practice address
8850 Columbia 100 Pkwy
Suite 312
Columbia, MD 21045-2374
Phone
(410) 884-0262
Fax
(410) 884-0263
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Dr. Javod Kazemizadeh Gol, DDS
Title
Owner/Dentist
Phone
(410) 884-0262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15417 MD Primary

Addresses

Primary practice location

8850 Columbia 100 Pkwy
Suite 312
Columbia, MD 21045-2374

Mailing address

8850 Columbia 100 Pkwy
Suite 312
Columbia, MD 21045-2374
Phone (410) 884-0262

Other names 1

  • Precision Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

8850 Columbia 100 Pkwy
Ste 312
Columbia, MD 21045
Phone (410) 884-0262

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1659816254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 COLUMBIA 100 PKWY",
            "address_2": "SUITE 312",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452374",
            "telephone_number": "410-884-0262",
            "fax_number": "410-884-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 COLUMBIA 100 PKWY",
            "address_2": "SUITE 312",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452374",
            "telephone_number": "410-884-0262",
            "fax_number": "410-884-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVOD K GOL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "KAZEMIZADEH GOL",
        "authorized_official_first_name": "JAVOD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "410-884-0262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.