ELEGANT SMILES DENTISTRY
NPI 1740629039
Clinic/Center - Dental in Columbus, OH

Active since June 19, 2013
4775 KNIGHTS BRIDGE BLVD., COLUMBUS, OH 43214(614) 824-5454 Get Directions Write a Review

NPPES record last updated: June 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elegant Smiles Dentistry NPPES

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

ELEGANT SMILES DENTISTRY (NPI 1740629039) is a healthcare organization registered as a dental in Columbus, Ohio and active in the NPI registry since June 2013. The organization lists Ali Khaksarfard, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1740629039
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameELEGANT SMILES DENTISTRY
Location Address4775 KNIGHTS BRIDGE BLVD.Columbus, OH 43214
Mailing Address4775 Knights Bridge Blvd.Columbus, OH 43214 · (614) 824-5454
Organization SubpartNo
Authorized OfficialAli KhaksarfardDentist/owner · (614) 824-5454
Enumeration DateJune 19, 2013
NPI 1740629039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in OH · 21821
4775 KNIGHTS BRIDGE BLVD., Columbus, OH 43214

Other Identifiers 1

Medicaid2417772OH

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 Elegant Smiles Dentistry's NPI number?

The NPI number for Elegant Smiles Dentistry is 1740629039. It was assigned to this organization in the NPPES registry on June 19, 2013.

Where is Elegant Smiles Dentistry located?

Elegant Smiles Dentistry is located at 4775 Knights Bridge Blvd., Columbus, OH 43214. The listed phone number is (614) 824-5454.

What is Elegant Smiles Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Elegant Smiles Dentistry was last updated on June 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.