MITCHELL ANDREW POOLE DDS NPI 1033677851

NPI Information

NPI: 1033677851
Provider Name: MITCHELL ANDREW POOLE, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
700 CHILDRENS DR
COLUMBUS, OH
ZIP 43205
Phone: (614) 722-2000
Get Directions

Mitchell Andrew Poole, DDS is a pediatric dentistry dentist in Columbus, OH. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Mitchell Andrew Poole, DDS NPI is 1033677851. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

700 CHILDRENS DR
COLUMBUS, OH
ZIP 43205-664
Phone: (614) 722-2000

The enumeration date for this NPI number is 3/11/2019 and was last updated on 3/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		30.026051	OHIO	No
2	1223P0221X	Dentist	Pediatric Dentistry	30.026051	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0392799	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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