Provider Demographics
NPI:1184830622
Name:ROLAND PAGNIANO, DDS, MS AND ASSOCIATES, INC.
Entity Type:Organization
Organization Name:ROLAND PAGNIANO, DDS, MS AND ASSOCIATES, INC.
Other - Org Name:DUBLIN DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:PAGNIANO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:614-932-0200
Mailing Address - Street 1:6805 AVERY-MUIRFIELD DR.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7184
Mailing Address - Country:US
Mailing Address - Phone:614-932-0200
Mailing Address - Fax:614-932-9451
Practice Address - Street 1:6805 AVERY-MUIRFIELD DR.
Practice Address - Street 2:SUITE 201
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-7184
Practice Address - Country:US
Practice Address - Phone:614-932-0200
Practice Address - Fax:614-932-9451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-125301223G0001X
OH30-212001223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty