Ollom DDS Lima LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OLLOM DDS LIMA LLC

Practice address

2115 Allentown Rd
Lima, OH 45805-1749

Phone

(419) 228-4036

NPI assigned

May 6, 2019

Organization subpart

Yes

Parent organization

OLLOM ENTERPRISES LLCAs reported in NPPES

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

Authorized official

Name

Jane Campbell

Title

Director of Operations

Phone

(419) 228-4036

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pure Smiles Lima Doing business as

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1720643752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051749",
            "telephone_number": "419-228-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051749",
            "telephone_number": "419-228-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLLOM DDS LIMA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLLOM ENTERPRISES LLC",
        "enumeration_date": "2019-05-06",
        "last_updated": "2022-02-22",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "419-228-4036"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366754723",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Smiles Lima",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pure Smiles Lima",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Okuly
• Olurin Olaleye
• Jill Oldfield
• Alisha A Oliphant
• Ollom Community Dental, LLC
• Ollom Dental Sleep Centers LLC
• Chad W Ollom, DDS
• Moses Kolawole Olofin, RN
• Ryan Michael Olson, DO
• Sarah L. Olt, MD

• Dental Clinic/Center in Lima, OH
• Providers in Lima, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.