Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548904089 Individual Practitioner Male Practitioner

Dr. Gregory L Gudziak , DDS

Dentist • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Gudziak, DDS is a registered healthcare professional specializing in Dentist in Columbus, OH. Practice services are available at 305 W 12TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

305 W 12th Ave

Columbus, OH 432101267

Telephone 6142925896
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
317 Specialists

Practicing in Columbus, OH (2953 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-11
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2951000897

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License OH 30.027179

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013151943

Doctor of Dental Surgery

Mitchell Thai

Dentist - General Practice

NPI 1013750413
Dr. Diana Mahmoodi , DMD

Dentist - Prosthodontics

NPI 1013807403

Doctor of Dental Medicine

NPI 1023165651

Doctor of Dental Surgery

NPI 1023373701

Doctor of Dental Surgery

Dr. Jennifer Burzynski , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1023409349

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 11, 2023

Registered at 305 W 12TH AVE, COLUMBUS, OH 432101267 (Tel: 6142925896)

📍
Updated Business Mailing Address June 11, 2023

Registered at 305 W 12TH AVE, COLUMBUS, OH 432101267

👤
Provider Name / Credentials Updated June 11, 2023

Recorded as GREGORY GUDZIAK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2023

Dentist (License #30.027179 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2022

Dentist (License #2951000897 in MI)

NPI Profile Active April 21, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2022

Registered at 2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 482082576 (Tel: 3134946873)

📍
Updated Business Mailing Address April 21, 2022

Registered at 2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 482082576

👤
Provider Name / Credentials Updated April 21, 2022

Recorded as GREGORY GUDZIAK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 21, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548904089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2022
Last Update: June 11, 2023
Sole Proprietor: Yes

Mailing Address

305 W 12th Ave

Columbus, OH 432101267

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.