MODERN DENTAL PROFESSIONALS-LEE,INC (NPI# 1164606687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164606687 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS-LEE,INC |
| Other Organization Name | MONARCH DENTAL |
| Practice Address |
5561 Salem Ave Dayton OH 45426-1451 |
| Practice Telephone | 9378541836 |
| Mailing Telephone | 9378541836 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |
| Authorized Official Name | RHONDA KELLER (DISTRICT MANAGER) |
| Authorized Official Telephone | 9372787956 |
| Is Organization Subpart | Y |
| Parent Organization Name | MODERN DENTAL PROFESSIONALS-LEE,INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30.019758 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2181446 | 05 |
| Other Name | Type Code |
|---|---|
| MONARCH DENTAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699959122 | Modern Dental Professionals-lee,inc | Dentist | 1042 S Smithville Rd, Dayton, OH 45403-3421 | 2007-12-19 |
| 1750565297 | Modern Dental Professionals-lee,inc | Dentist | 36 Fiesta Ln, Miamisburg, OH 45342-5301 | 2007-12-19 |
| 1992989412 | Modern Dental Professionals-lee,inc | Dentist | 1 S High St, Arcanum, OH 45304-1118 | 2007-12-19 |
| 1669656104 | Modern Dental Professionals-lee,inc | Dentist | 987 E Ash St, Ste 154, Piqua, OH 45356-4133 | 2007-12-19 |
| 1033393558 | Modern Dental Professionals-lee,inc | Dentist | 6040 Wilmington Pike, Centerville, OH 45459-7006 | 2007-12-19 |
| 1386828812 | Modern Dental Professionals-lee,inc | Dentist | 1475 Upper Valley Pike, Springfield, OH 45504-4047 | 2007-12-19 |
| 1851575567 | Modern Dental Professionals-lee,inc | Dentist | 6188 Chambersburg Rd, Huber Heights, OH 45424-3857 | 2007-12-18 |
| Street Address |
5561 SALEM AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45426-1451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841842515 | Gwenivere S Brown | Social Worker | 2580 Shiloh Springs Rd #b, Trotwood, OH 45426 | 2019-07-12 |
| 1790146595 | John Parker Moore | Counselor | 1770 Shiloh Springs Rd., Dayton, OH 45426 | 2016-03-08 |
| 1417336587 | Sisterhomehealthcareprovider | Home Health | 5119 Kingsford Av., Dayton, OH 45426 | 2015-05-22 |
| 1164851846 | Ronica Diene | Licensed Practical Nurse | 5324 Greencroft Dr, Dayton, OH 45426 | 2013-11-04 |
| 1568897783 | Shatonne Dianne Jackson | Nursing Facility/Intermediate Care Facility | 616 Ellsworth Dr, Dayton, OH 45426 | 2013-09-06 |
| 1144570318 | Ja'net D Hines | Licensed Practical Nurse | 12 Greacian Ave, Dayton, OH 45426 | 2012-09-14 |
| 1306106422 | Njek Akieh Achu | Home Health | 5909 Macduff Dr Apt 1716, Trotwood, OH 45426 | 2012-05-22 |
| 1518224963 | Edward Harris | Home Health Aide | 4921 Bloomfield Dr, Apt L, Trotwood, OH 45426 | 2012-04-23 |
| 1508134677 | Cedrick D Parks | Pharmacist | 5371 Salem Ave, Trotwood, OH 45426 | 2011-12-05 |
| 1336476308 | Ziks Family Pharmacy Inc 102 | Pharmacy | 4140 Salem Avenue, Dayton, OH 45426 | 2009-11-11 |
| Find all providers in zip 45426 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687692 | Julianne Fanny Avrutik | Dentist | 395 Ridge Rd Ste 5, Dayton, NJ 08810-1398 | 2019-09-09 |
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1649765876 | Ryan Conner Tutor | Dentist | 225 Main St Ste 400, Dayton, TN 37321-1329 | 2018-06-29 |
| 1043765985 | Supriya Sharma | Dentist | 2411 Miamisburg Centerville Rd, Dayton, OH 45459-3723 | 2016-08-21 |
| 1871930396 | Keta Bhakta | Dentist | 13551 Balsam Ln N, Dayton, MN 55327-9464 | 2013-05-23 |
| 1932440724 | Shelhouse Dental Group LLC | Dentist | 1601 Needmore Rd, Dayton, OH 45414-3855 | 2013-03-05 |
| 1316288103 | Shelhouse Comprehensive Dental LLC | Dentist | 5335 Far Hills Ave Ste 210, Dayton, OH 45429-2317 | 2013-03-05 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1124307202 | Brooke D Goodwin | Dentist | 101 Heartland Ct, Dayton, VA 22821-9000 | 2011-08-08 |
| 1760795785 | Kokila Punia | Dentist | 1309 Blossom Cir, Dayton, NJ 08810-2414 | 2010-07-19 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.