POTARAJU DENTAL SERVICES NPI 1023300241

Dentist (General Practice) in Columbus, OH

NPI 1023300241 Organization Dentist General Practice

About POTARAJU DENTAL SERVICES

Potaraju Dental Services is a provider established in Columbus, Ohio specializing in dentist (general practice) . The NPI number of Potaraju Dental Services is 1023300241 and was assigned on May 2011. The practitioner's primary taxonomy code is 1223G0001X with license number 30022194 (OH). The provider is registered as an organization and their NPI record was last updated 10 years ago. Potaraju Dental Services operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Satya Potaraju Dds (Dentist/owner)

A dentist like Potaraju Dental Services is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1023300241

Provider NamePOTARAJU DENTAL SERVICES
Provider Location Address2671 CLEVELAND AVE COLUMBUS, OH 43211
Provider Mailing Address2671 CLEVELAND AVE COLUMBUS, OH 43211
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-05-2011
Last Update Date05-05-2011


Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.30022194
License StateOH
Taxonomy DescriptionA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Business Address

POTARAJU DENTAL SERVICES
2671 CLEVELAND AVE
COLUMBUS, OH
ZIP 43211
Phone: (614) 268-8794

Get Directions


Mailing Address

POTARAJU DENTAL SERVICES
2671 CLEVELAND AVE
COLUMBUS, OH
ZIP 43211
Phone: (614) 268-8794



Authorized Official

Authorized Official Name SATYA POTARAJU DDS
Authorized Official TitleDENTIST/OWNER
Authorized Official Phone(614) 268-8794

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2578750MEDICAID (05)OH

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366623688 SATYA POTARAJU D.D.S
Individual
Dentist (General Practice)2671 CLEVELAND AVE
COLUMBUS, OH 43211
(614) 268-8794

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.