NEWARK PERIODONTICS LLC


Address: 843 N 21st St Ste 102a, Newark, OH 43055-7274
Phone: 7403667207

NEWARK PERIODONTICS LLC (NPI# 1306408687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306408687
Entity Type Organization
Organization Name NEWARK PERIODONTICS LLC
Practice Address 843 N 21st St Ste 102a
Newark
OH 43055-7274
Mailing Address 5152 Blazer Pkwy
Dublin
OH 43017-7315
Practice Telephone 7403667207
Mailing Telephone 6148898222
Enumeration Date 2019-07-08
Last Update Date 2019-07-08
Authorized Official Name JASON C STONER (MEMBER)
Authorized Official Telephone 6148898222
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH LICENSE 30020951 01

Office Location

Street Address 843 N 21ST ST STE 102A
City NEWARK
State OH
Zip Code 43055-7274

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770125585 Jessica Danielle Dunkle Case Manager/Care Coordinator 15 N 3rd Street Suite 300, Newark, OH 43055 2019-10-14
1558910331 Diana Cleland Home Health Aide 25 Western Rd, Apartment A, Newark, OH 43055 2019-09-05
1912424789 Sandra Lou Fraley Community/Behavioral Health 15 North 3rd Street, Suite 300, Newark, OH 43055 2017-08-23
1215450911 Caitlyn Thella Smith Elkins Social Worker 15 N. 3rd St., Newark, OH 43055 2017-07-25
1992227888 Sierra Elizabeth Donley Student in an Organized Health Care Education/Training Program 140 W Church St, Newark, OH 43055 2017-07-12
1386170587 Patricia Louise Fischer Pharmacist 1155 North 21rst Street, Newark, OH 43055 2017-05-08
1689120958 Bebout Services, LLC Home Health 1325 Dayton Road Ne, Newark, OH 43055 2016-08-28
1750834594 Laura Smith Registered Nurse 1445 West Main Street, Suite B, Newark, OH 43055 2016-07-28
1164807277 Frank Kobe Psychologist 116 N. 21st Street, Newark, OH 43055 2015-07-30
1770975898 Gentle Foot Care, Inc Podiatrist 1271 W Main Street, Bldg 1, Newark, OH 43055 2015-02-26
Find all providers in zip 43055

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104945609 Barry S Kayne Dentist The Omega Professional Center, Ste F58, Newark, DE 19713 2007-03-28
1699880260 Geoffrey Rodman Bauman Dentist 843 N 21st St, #102a, Newark, OH 43055 2006-08-21
1255764718 Ioanna Tsolaki Dentist 110 Bergen St, C868, Newark, NJ 07103-2495 2013-08-19
1871830497 Daniel H. Fine Dentist 185 S Orange Ave, University Health Sciences Bld, Rm C-636, Newark, NJ 07103-2757 2013-01-16
1740554534 Ironbound Dental Specialists Dentist 290 Ferry St, Newark, NJ 07105-3475 2012-02-27
1174789440 Kenneth A Gluck Dentist 110 Bergen St, Room C-781, Newark, NJ 07103-2495 2008-08-05
1669633202 Michelle T Respler Rubin Dentist 110 Bergen St, Perio Dept. Rm. C781, Newark, NJ 07103-2495 2008-06-17
1316168362 Barry I Simon Dentist 90 Bergen St, Suite 7700, Newark, NJ 07103-2425 2007-05-01
1245292945 Michael J Deasy Dentist 110 Bergen St, Newark, NJ 07103-2495 2006-04-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194334136 Nerea Robles-leyzaola Dentist 154 E Oakland Ave, Columbus, OH 43201-1209 2020-07-27
1801419866 Morgan & Lemke Dds Ms Inc Dentist 6505 Rockside Rd Ste 310, Independence, OH 44131-2386 2020-05-26
1639724438 Vinayak Joshi Dentist 4103 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210-1267 2019-08-08
1386201101 Fred O Sakamoto Dds, Inc Dentist 7334 E Broad St Ste B, Blacklick, OH 43004-9239 2019-05-28
1972098432 Ying Wang Dentist 305 W 12th Ave Fl 2, Columbus, OH 43210-1267 2018-06-27
1982128773 Periodontics of Toledo Dentist 223 W. Crawford, Findlay, OH 45840 2017-08-02
1831545854 Griselle Ortiz-ramsey Dmd and Associates Dentist 1569 Mckaig Ave, Troy, OH 45373-4904 2016-05-09
1225406622 Alexandra Seal Dentist 4646 Nantuckett Dr Ste A, Toledo, OH 43623-3194 2015-09-02
1437551603 Peter Nader Nessim Amin Dentist 7081 Pearl Rd, Middleburg Heights, OH 44130-4940 2014-09-19
1790197390 Michael Karl Kreitzer Dentist 5152 Blazer Pkwy Ste 100, Dublin, OH 43017-7323 2014-05-30
Find all providers with the same taxonomy

Competitor

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City NEWARK
Zip Code 43055

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Dataset Information

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.

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