Healthcare Provider Details

I. General information

NPI: 1700702958
Provider Name (Legal Business Name): DARIA BUHTOIAROVA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 W 12TH AVE
COLUMBUS OH
43210-1267
US

IV. Provider business mailing address

5014 HAYDEN XING
GROVEPORT OH
43125-3512
US

V. Phone/Fax

Practice location:
  • Phone: 614-292-5398
  • Fax:
Mailing address:
  • Phone: 908-400-9687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.028523
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: