Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902543630 Individual Practitioner Female Practitioner

Dr. Mary Kristine Byrum , DDS

Dentist • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Dr. Mary Byrum, 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 6146883763
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: 2024-06-26
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OH 30.027272

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License OH 004460

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.

Secondary Practice Locations

17500 Madison Ave

Cleveland, OH 441073653

Phone: 2163022401

Practice Associates & Co-Workers

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

38 Associated Practitioners
Olivia Bartholomew

Student in an Organized Health Care Education/Training Program

NPI 1083406987
Dr. Cristobal Urrutia , DDS

Dentist - General Practice

NPI 1124695358

Doctor of Dental Surgery

Dr. Kalia Theodorou , DDS

Dentist - Periodontics

NPI 1144882242

Doctor of Dental Surgery

Yu-Chang Wu

Dentist - Periodontics

NPI 1184399149
NPI 1235668732

Doctor of Dental Surgery

Isa Rodriguez

Dentist - General Practice

NPI 1245930544

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 26, 2024

Registered at 305 W 12TH AVE, COLUMBUS, OH 432101267 (Tel: 6146883763)

📍
Updated Practice Location April 17, 2024

Registered at 17500 MADISON AVE, CLEVELAND, OH 441073653 (Tel: 2163022401)

📍
Updated Business Mailing Address April 17, 2024

Registered at 660 FOUNDERS RIDGE DR, GAHANNA, OH 432307017 (Tel: 6149496396)

NPI Profile Active May 18, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2022

Registered at 1044 BELMONT AVE, YOUNGSTOWN, OH 445041006 (Tel: 3304803195)

📍
Updated Business Mailing Address May 18, 2022

Registered at 1044 BELMONT AVE, YOUNGSTOWN, OH 445041006

👤
Provider Name / Credentials Updated May 18, 2022

Recorded as MARY BYRUM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2022

Student in an Organized Health Care Education/Training Program (License #004460 in OH)

🟢
Initial NPI Registration & Enumeration May 15, 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: 1902543630
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2022
Last Update: June 26, 2024
Sole Proprietor: No

Mailing Address

660 Founders Ridge Dr

Gahanna, OH 432307017

Phone: 6149496396

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.