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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | LICENSE | 30020951 | 01 |
Street Address |
843 N 21ST ST STE 102A |
City | NEWARK |
State | OH |
Zip Code | 43055-7274 |
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 Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
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 |
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 |
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 |
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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.