Individual provider · Type 1 NPI

Sidharth Kannan, DMD

Pediatric Dentistry · Columbus, OH

NPI number 1104303130 Active

Practice location

700 Childrens Dr
Columbus, OH 43205-2664

Mailing address

191 Vine St
Columbus, OH 43215-2436

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X30.025520 (OH)
Pediatric Dentistry Primary 1223P0221X35069 (TX)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1104303130

Sidharth Kannan, DMD's National Provider Identifier is 1104303130, issued on Jul 23, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Columbus, OH. The record was last updated on May 16, 2025.