Cesar Augustin, DDS
Individual provider Active NPI General Practice Dentistry · Poland, OH
NPI 1770629115 · NPPES record last updated Jan 19, 2026
Key facts
- NPI
- 1770629115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30-019702 (OH)
- Practice address
- 1320 Boardman Poland Rd Ste C
Poland, OH 44514-1934 - Phone
- (330) 629-8829
- Fax
- (330) 629-8630
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160308001479 | OH | Order and Referring Only - Dentist |
8022314616 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0490184 | PA | MD | Dentist |
| 30-019702 | OH | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS0490184 | PA | |
| General Practice Dentistry | 1223G0001X | 30-019702 | OH | Yes |
Addresses
Primary practice location
1320 Boardman Poland Rd Ste C
Poland, OH 44514-1934
Mailing address
PO Box 545
Youngstown, OH 44501-0545
Phone (330) 518-4861
Other practice location 1
5450 Campbells Run Rd
Pittsburgh, PA 15205-1026
Phone (412) 787-2262 ext. 2
Other practice location 2
5700 Youngstown Warren Rd
Niles, OH 44446-4762
Phone (330) 652-3900 ext. 2
Other providers in Poland, OH
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- Miah-Sophia Appugliese
- Carla Renae Arlien
- Ngan-Thi Augustin
- Tori Augustine
- Avry'S Orthotic Facility, Inc.
- Mounir Awad
- Babitha Nalluri MD LTD
All providers in Poland, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.