DR. URBAN MICHAEL PICARD (NPI# 1407885601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407885601 |
| Entity Type | Individual |
| Full Name | DR. URBAN MICHAEL PICARD |
| Credential | DDS |
| Practice Address |
15711 Madison Ave Ste 104 Lakewood OH 44107-5655 |
| Practice Telephone | 2162289000 |
| Practice Fax Number | 2162288280 |
| Mailing Telephone | 2162289000 |
| Mailing Fax Number | 2162288280 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
30.017754 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0879581 | 05 |
| Street Address |
15711 MADISON AVE STE 104 |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-5655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150013 | Stacy Jacob | Dentist | 15711 Madison Ave Ste 104, Lakewood, OH 44107-5655 | 2020-06-27 |
| 1528685369 | Justin Mackert | Dentist | 15711 Madison Ave Ste 104, Lakewood, OH 44107-5655 | 2020-06-27 |
| 1841842069 | Associates In Dentistry LLC | Dentist | 15711 Madison Ave Ste 104, Lakewood, OH 44107-5655 | 2019-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194865907 | David William Todd | Dentist | 120 Southwestern Dr, Lakewood, NY 14750 | 2007-02-08 |
| 1972606903 | Nicholas C Diamantis | Dentist | 14700 Detroit Ave, Lakewood, OH 44107 | 2006-09-06 |
| 1730156126 | Joseph C Piotrowski | Dentist | 400 Madison Ave, Lakewood, NJ 08701-3214 | 2006-03-03 |
| 1083153985 | Cle Oms Lakewood/rocky River - Jeffrey W. Kosman Dds Inc. | Dentist | 15711 Madison Ave, Suite 104, Lakewood, OH 44107-5655 | 2017-02-13 |
| 1144561002 | Brian K. Smith, D.d.s., M.d., Inc. | Dentist | 14701 Detroit Ave, Suite 333, Lakewood, OH 44107-4109 | 2013-03-01 |
| 1881946309 | Peak Oral & Maxillofacial Surgery Center | Dentist | 2290 Kipling St, Suite 2, Lakewood, CO 80215-1578 | 2012-10-08 |
| 1619104015 | Shore Oral Maxillo Surgery Group Pa | Dentist | 301 Madison Ave, Lakewood, NJ 08701-3266 | 2009-06-12 |
| 1821256504 | Haeman Noori | Dentist | 2290 Kipling St, Suite 2, Lakewood, CO 80215-1578 | 2008-05-29 |
| 1356567606 | Urban M. Picard Dds, Inc | Dentist | 15711 Madison Ave, Suite #104, Lakewood, OH 44107-5655 | 2007-04-17 |
| 1689797086 | Donald A Decino, D.d.s., P,c | Dentist | 3405 S Yarrow St, Suite A, Lakewood, CO 80227-4965 | 2007-04-09 |
| Find all providers in LAKEWOOD | ||||
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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.