Buckeye Lake Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BUCKEYE LAKE DENTAL LLC

Practice address

5097 Walnut Road
Buckeye Lake, OH 43008

Phone

(740) 527-8989

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Colin J Golian, DDSNPI 1376275123

Title

Sole Member/Owner

Phone

(740) 527-8989

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colin J Golian, DDS

  • General Practice Dentistry
  • Buckeye Lake, OH
  • NPI 1376275123
  NPD Authorized official

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1891525663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5097 WALNUT RD",
            "city": "BUCKEYE LAKE",
            "state": "OH",
            "postal_code": "430087787",
            "telephone_number": "740-527-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5097 WALNUT ROAD",
            "city": "BUCKEYE LAKE",
            "state": "OH",
            "postal_code": "43008",
            "telephone_number": "740-527-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE LAKE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "GOLIAN",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "740-527-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl A Battle, RN
• Buckeye Lake Village
• Compass Counseling Group
• Deanna Tucker
• Debra Ziadeh
• Sandra Dawn Facemire, MSW, LISW-S

• General Practice Dentistry in Buckeye Lake, OH
• Providers in Buckeye Lake, 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 Mar 13, 2025; 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.