Healthcare Provider Details

I. General information

NPI: 1184830622
Provider Name (Legal Business Name): ROLAND PAGNIANO, DDS, MS AND ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6805 AVERY-MUIRFIELD DR. SUITE 201
DUBLIN OH
43016-7184
US

IV. Provider business mailing address

6805 AVERY-MUIRFIELD DR. SUITE 201
DUBLIN OH
43016-7184
US

V. Phone/Fax

Practice location:
  • Phone: 614-932-0200
  • Fax: 614-932-9451
Mailing address:
  • Phone: 614-932-0200
  • Fax: 614-932-9451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30-12530
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number30-21200
License Number StateOH

VIII. Authorized Official

Name: DR. ROLAND PAUL PAGNIANO JR.
Title or Position: PRESIDENT-OWNER
Credential: D.D.S., M.S.
Phone: 614-932-0200