MID OHIO DENTAL ASSOCIATES
NPI 1619086717
Dentist in Columbus, OH

Q: What is Mid Ohio Dental Associates's NPI number?

The NPI number for Mid Ohio Dental Associates is 1619086717. It was assigned to this organization in the NPPES registry on August 30, 2006.

Q: What is Mid Ohio Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since August 30, 2006

3079 W. BROAD STE SUITE 7, COLUMBUS, OH 43204(614) 279-9204(614) 279-9208 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, Oct 3, 2024 (2 updates tracked since 2024).

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About Mid Ohio Dental Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID OHIO DENTAL ASSOCIATES (NPI 1619086717) is a healthcare organization registered as a dentist in Columbus, Ohio and active in the NPI registry since August 2006. The organization lists Jack Daniel Castilla, Dentist, as its authorized official.

NPPES Registry Identity

NPI1619086717

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMID OHIO DENTAL ASSOCIATES

Location Address3079 W. BROAD STE SUITE 7Columbus, OH 43204

Mailing Address3079 W. Broad Ste Suite 7Columbus, OH 43204 · (614) 279-9204 · Fax (614) 279-9208

Phone(614) 279-9204

Fax(614) 279-9208

Organization SubpartNo

Authorized OfficialJack Daniel CastillaDentist · (614) 279-9204

Enumeration DateAugust 30, 2006

Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration

✔ NPI 1619086717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OH · 30016727

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3079 W. BROAD STE SUITE 7, Columbus, OH 43204

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Other Names 1

Doing Business AsMid Ohio Dental Associates

Other Identifiers 2

Medicaid2210039OH

Other9180566OH · Molina Health

Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid Ohio Dental Associates's NPI number?

The NPI number for Mid Ohio Dental Associates is 1619086717. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Mid Ohio Dental Associates located?

Mid Ohio Dental Associates is located at 3079 W. Broad Ste Suite 7, Columbus, OH 43204. The listed phone number is (614) 279-9204.

What is Mid Ohio Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mid Ohio Dental Associates accept?

Health plans from UnitedHealthcare list Mid Ohio Dental Associates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mid Ohio Dental Associates was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.