SHELBY DENTAL ARTS, INC. (NPI# 1558378208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558378208 |
| Entity Type | Organization |
| Organization Name | SHELBY DENTAL ARTS, INC. |
| Practice Address |
70 W Smiley Ave Shelby OH 44875-1056 |
| Mailing Address |
70 West Smiley Ave. P.o.box 210 Shelby OH 44875-1326 |
| Practice Telephone | 4193424566 |
| Practice Fax Number | 4193476617 |
| Mailing Telephone | 4193424566 |
| Mailing Fax Number | 4193476617 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GARY EDWARD JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 4193424566 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
15765 | OH | Dental Providers |
| Street Address |
70 W SMILEY AVE |
| City | SHELBY |
| State | OH |
| Zip Code | 44875-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073003331 | Tequicia Jan'ee Robinson | Dentist | 70 W Smiley Ave, Shelby, OH 44875 | 2018-05-12 |
| 1003959800 | Gary Edward Johnson | Dentist | 70 W Smiley Ave, Shelby, OH 44875-1056 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962999755 | Michael Lee Mason | Counselor | 2779 St. Rt. 39, Shelby, OH 44875 | 2018-04-17 |
| 1336646009 | Toia Branklin | Counselor | 2779 St Rt 39, Shelby, OH 44875 | 2018-04-10 |
| 1801397138 | Stephanie L Kamp | Social Worker | 29 Steele Ave, Shelby, OH 44875 | 2018-02-22 |
| 1164956744 | Brandy Brown | Licensed Practical Nurse | 2775 St. Rt. 39, Shelby, OH 44875 | 2017-04-20 |
| 1306229281 | Spencer Blevins | Specialist/Technologist | 7025 State Route 61 N, Shelby, OH 44875 | 2015-07-09 |
| 1194141150 | Karen Rittenhouse | Occupational Therapist | 109 Auburn Ave., Auburn Elementary, Shelby, OH 44875 | 2014-03-13 |
| 1467877100 | Adrianne Stumbo | Licensed Practical Nurse | 2708 Holtz Rd, Shelby, OH 44875 | 2014-03-04 |
| 1730452608 | Amy Marie Weiner | Community Health Worker | 225 West Main Street, Shelby, OH 44875 | 2012-02-22 |
| 1093038218 | Susan K Mcfarland | Licensed Practical Nurse | 77 Grand Blvd Ext, Shelby, OH 44875 | 2010-03-02 |
| 1427289362 | Mary Catherine Finnegan | Physical Therapy Assistant | 60 Grand Blvd Apt 1, Shelby, OH 44875 | 2009-07-27 |
| Find all providers in zip 44875 | ||||
| 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 |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1710323621 | Brandon Culler Hounshell | Dentist | 209 Patton Dr, Suite B, Shelby, NC 28150-4658 | 2013-05-18 |
| 1134449325 | Sara H Karner | Dentist | 101 Life Enrichment Blvd, Shelby, NC 28150-3690 | 2010-06-10 |
| 1265757652 | John Martin Stiefel | Dentist | 117 Mansfield Ave, Shelby, OH 44875-1643 | 2010-03-29 |
| 1013243369 | Rick R. Dayton, Dds PC | Dentist | 218 N. State St., Shelby, MI 49455 | 2009-10-21 |
| 1326212937 | David M. Rolsten, Dds, Inc | Dentist | 102 Auburn Ave, Shelby, OH 44875-1104 | 2008-04-15 |
| 1528135969 | David Matthew Rolsten | Dentist | 102 Auburn Avenue, Shelby, OH 44875 | 2006-11-29 |
| 1730284423 | Joseph Rochel Hendrick Jr. | Dentist | 511 N Morgan St, Shelby, NC 28150-4436 | 2006-09-14 |
| 1881797066 | Kendalyn Lutz-craver Dds Pa | Dentist | 101 Life Enrichment Blvd., Shelby, NC 28150 | 2006-09-06 |
| 1457367260 | James S Wilson Dds Pa | Dentist | 416 West Warren Street, Shelby, NC 28150 | 2006-08-01 |
| Find all providers in SHELBY | ||||
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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.