OrganizationActive
Upper Arlington - Bryan Basom DDS LLC
NPI 1013427921 · Dentist · Columbus, OH
Provider details
- NPI number
- 1013427921
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Bryan Basom, Owner(614) 406-7187
- License
- 30.022613 (OH)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1840 Zollinger Rd
Columbus, OH 43221-2850
Phone: (614) 457-3927
Fax: (614) 457-0668
Street-level locationGet directions
Mailing address
7870 Olentangy River Rd Ste 205
Columbus, OH 43235-1319
Other names (DBA / former)
- Doing business as
- Magnolia Dental
- Doing business as
- Magnolia Dental at Kingsdale
Registry dates
- Enumerated
- 2017-10-05
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.