JOHN A. GENNANTONIO, DDS AND KATHRYN LUBITZ STEWART, DDS, LLC (NPI# 1508185802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508185802 |
| Entity Type | Organization |
| Organization Name | JOHN A. GENNANTONIO, DDS AND KATHRYN LUBITZ STEWART, DDS, LLC |
| Other Organization Name | SEA OF SMILES |
| Practice Address |
1319 Nagel Rd Cincinnati OH 45255-3101 |
| Mailing Address |
1319 Nagel Road Cincinnati OH 45255 |
| Practice Telephone | 5134746777 |
| Practice Fax Number | 5134742326 |
| Mailing Telephone | 5134746777 |
| Mailing Fax Number | 5134742326 |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2016-04-21 |
| Authorized Official Name | MRS. TRACI CAIN (BUSINESS ASSISTANT) |
| Authorized Official Telephone | 5134746777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
30.022659 | OH | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
30.019420 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0924807 | 05 | |
| OH | 2830146 | 05 | |
| OH | 3047410 | 05 |
| Other Name | Type Code |
|---|---|
| Sea of Smiles | Doing Business As Name - Organization |
| Street Address |
1319 NAGEL RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45255-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457391724 | Sarah Lilly Husted | Dentist | 1319 Nagel Rd, Cincinnati, OH 45255-3101 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710408323 | Teresa Anne Hollenkamp | Speech-Language Pathologist | 8595 Beechmont Ave Ste 204, Cincinnati, OH 45255 | 2017-07-05 |
| 1780130997 | Amanda Friedman | Counselor | 4030 Mt. Carmel Tobasco Road, Suite #209, Cincinnati, OH 45255 | 2016-08-28 |
| 1255789228 | Daniel Nisi | Internal Medicine | 2139 Auburn Ave., Cincinnati, OH 45255 | 2016-05-31 |
| 1942655378 | Courtney Head | Hearing Instrument Specialist | 7689 Beechmont Ave, Cincinnati, OH 45255 | 2016-05-04 |
| 1164846366 | Joan Rivard | Speech-Language Pathologist | 7550 Forest Ave, Cincinnati, OH 45255 | 2014-02-07 |
| 1720401243 | Nathan Dumford | Psychologist | 7550 Forest Avenue, Cincinnati, OH 45255 | 2014-02-04 |
| 1548690431 | Melissa Donohoo | Registered Nurse | 7578 State Road, Cincinnati, OH 45255 | 2013-11-14 |
| 1376979542 | Forestville Dental, Michael D. Farmer, D.m.d., Inc. | Dentist | 7535 State Road, Unite M, Cincinnati, OH 45255 | 2013-09-19 |
| 1659665099 | Maggy's Home Health Care | Home Health | 4030 Mt. Carmal Tobasco Rd Ste307b, Cincinnati, OH 45255 | 2011-06-02 |
| 1306095716 | Jeremy Michael Ernstes | Optometrist | 7426 Beechmont Avenue Suite 209, Dr. David S. Tabeling & Associates, Cincinnati, OH 45255 | 2008-09-10 |
| Find all providers in zip 45255 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912547811 | Cincy Pediatric Dentistry, LLC | Dentist | 1131 Cryer Ave, Cincinnati, OH 45208 | 2020-01-09 |
| 1932542321 | Daisy Thomas | Dentist | 9200 Montgomery Rd Ste 4b, Cincinnati, OH 45242-7789 | 2013-04-16 |
| 1649556051 | Mariana P Levy Depolack | Dentist | 2706 Observatory Ave, Cincinnati, OH 45208-2108 | 2011-10-30 |
| 1114153343 | Katlin Blomer | Dentist | 3870 Paxton Ave, Suite G, Cincinnati, OH 45209-2366 | 2009-06-02 |
| 1336393180 | Frank H. Mills Jr. | Dentist | 6837 Wooster Pike, Cincinnati, OH 45227 | 2008-11-06 |
| 1033276837 | David Michael Sullivan | Dentist | 5177 N Bend Rd, Cincinnati, OH 45211-1900 | 2007-01-02 |
| 1962561761 | Joel Golub,dds,inc. | Dentist | 9505 Montgomery Rd, Cincinnati, OH 45242-7248 | 2006-12-07 |
| 1285729707 | Ronald D. Rubin | Dentist | 11350 Springfield Pike, Cincinnati, OH 45246-4202 | 2006-10-03 |
| 1396846259 | Anthony A Kamp | Dentist | 3333 Burnet Ave Ml 2006, Cincinnati, OH 45229-3026 | 2006-09-25 |
| 1457391724 | Sarah Lilly Husted | Dentist | 1319 Nagel Rd, Cincinnati, OH 45255-3101 | 2006-06-07 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45255 |
Please comment or provide details below to improve the information on JOHN A. GENNANTONIO, DDS AND KATHRYN LUBITZ STEWART, DDS, LLC.
| 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.