Olentangy Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21874 Issued in OH

Legal business name

OLENTANGY PEDIATRIC DENTISTRY

Practice address

525 Liberty Rd. N
Powell, OH 43065

Phone

(614) 433-7474

Fax

(614) 433-9090

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey T Milton, DDS MSNPI 1740374420

Title

Owner

Phone

(614) 433-7474

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Jeffrey T Milton, DDS

  • Pediatric Dentistry
  • Powell, OH
  • NPI 1740374420
  NPD Authorized official
• Monica R Patel, D.M.D, M.S.

  • Pediatric Dentistry
  • Powell, OH
  • NPI 1306162847
  NPD
• Colleen Claire Orellana, DDS

  • Pediatric Dentistry
  • Powell, OH
  • NPI 1275950750
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1952407686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 LIBERTY RD. N",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "43065",
            "telephone_number": "614-433-7474",
            "fax_number": "614-433-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 LIBERTY RD. N",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "43065",
            "telephone_number": "614-433-7474",
            "fax_number": "614-433-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLENTANGY PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "MILTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-433-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "21874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2565808",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ohio Primary Care Network, LLC
• Ohio State University
• Ohio State University Outpatient Pharmacy
• Jacie Anne Okojie, LPC
• Melissa Oldaker
• Adebomi Adeola Omikunle, MD
• Optometric Management Group LLC
• Colleen Claire Orellana, DDS
• Orleans Psychological Services
• Orthopedic One, Inc.

• All providers in Powell, OH
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.