ELEGANT SMILES DENTISTRY – NPI #1740629039
Clinic/Center

ELEGANT SMILES DENTISTRY is an AHC clinic located in COLUMBUS, OH. NPPES has assigned the NPI number 1740629039 to ELEGANT SMILES DENTISTRY on June 19, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELEGANT SMILES DENTISTRY below.

NPI Profile for
ELEGANT SMILES DENTISTRY

NPI Number
1740629039
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ELEGANT SMILES DENTISTRY
Primary location
4775 KNIGHTS BRIDGE BLVD.
COLUMBUS, OH 43214
Phone: (614) 824-5454 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALI KHAKSARFARD
DENTIST/OWNER
Phone: (614) 824-5454
Updated
Identifiers

Identifiers for ELEGANT SMILES DENTISTRY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH2417772
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 OH 21821

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.