Pantzlaff Dental Marion, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PANTZLAFF DENTAL MARION, LLC

Doing business as

Presidential Family Dental

Practice address

1271 Crescent Heights Rd Ste 206
Marion, OH 43302-6455

Phone

(740) 383-2525

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Andrew Walker

Title

Vice President

Phone

(801) 550-6421

Specialties & licenses 1

Addresses

Other names 1

• Presidential Family Dental Doing business as

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1871373068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 CRESCENT HEIGHTS RD STE 206",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026455",
            "telephone_number": "740-383-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 CRESCENT HEIGHTS RD STE 206",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026455",
            "telephone_number": "740-383-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTZLAFF DENTAL MARION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "801-550-6421"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presidential Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Presidential Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Pacha
• Nicholas E Packard, CPRS
• Paul Y Paik
• Dave Jyoti Pandya, MD
• Vivian Sue Pangborn
• Analkumar Krishnavadan Parikh, M.D.
• Janell Parker, PT
• Kimberley Dawn Parker
• Leah Parker, DO
• Jadelyn Parks

• General Practice Dentistry in Marion, OH
• Providers in Marion, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.