Provider Demographics
NPI:1598825804
Name:P.J.PAUL DDS INC
Entity Type:Organization
Organization Name:P.J.PAUL DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-870-3337
Mailing Address - Street 1:17 NORTON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-1711
Mailing Address - Country:US
Mailing Address - Phone:614-870-3337
Mailing Address - Fax:
Practice Address - Street 1:17 NORTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-1711
Practice Address - Country:US
Practice Address - Phone:614-870-3337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH209271223G0001X
OH203901223P0106X
OH300186361223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered1223P0106XDental ProvidersDentistOral and Maxillofacial PathologyGroup - Multi-Specialty
Not Answered1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH849827Medicare UPIN