OHIO DENTAL PROFESSIONALS, DELISLE, PC (NPI# 1598126989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598126989 |
Entity Type | Organization |
Organization Name | OHIO DENTAL PROFESSIONALS, DELISLE, PC |
Other Organization Name | DENTAL CARE OF FAIRFIELD |
Practice Address |
3012 Anchor Drive Hamilton OH 45011 |
Practice Telephone | 5132859613 |
Enumeration Date | 2016-03-11 |
Last Update Date | 2016-03-11 |
Authorized Official Name | KENDRA WALKER (CREDENTIALING TEAM LEAD) |
Authorized Official Telephone | 2175408312 |
Is Organization Subpart | Y |
Parent Organization Name | OHIO DENTAL PROFESSIONALS, DELISLE, PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Other Name | Type Code |
---|---|
Dental Care of Fairfield | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780078287 | Ohio Dental Professionals, Delisle, PC | Dentist | 6160 Gender Rd, Canal Winchester, OH 43110-2054 | 2015-03-23 |
1992197883 | Ohio Dental Professionals, Delisle, PC | Dentist | 8086 E Broad St, Reynoldsburg, OH 43068 | 2015-03-02 |
Street Address |
3012 ANCHOR DRIVE |
City | HAMILTON |
State | OH |
Zip Code | 45011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831702000 | Trisha Sue Allen | Case Manager/Care Coordinator | Sojourner Recovery Services, 515 Dayton Street, Hamilton, OH 45011 | 2020-08-27 |
1235755158 | Toika Thompson | Community Health Worker | 614 S 4th St, Hamilton, OH 45011 | 2020-06-17 |
1912477589 | Bernice Lorene Garrison | Registered Nurse | 621 S. Erie Boulevard, Hamilton, OH 45011 | 2018-11-27 |
1811465040 | Delanie Darcelle Kidd | Counselor | 515 High Street, Hamilton, OH 45011 | 2018-11-06 |
1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
1912485863 | Heavens Quest LLC | Home Health | 415 North Erie Blvd, Hamilton, OH 45011 | 2018-08-02 |
1326532748 | Margaret Phillips | Nurse Practitioner | 5290 Poets Way, Liberty Twp, OH 45011 | 2018-06-19 |
1891284386 | Myles Evan Silas | Counselor | 1210 N W Washington Blvd #4, Hamilton, OH 45011 | 2018-05-09 |
1295223436 | Taylor Guecking | Counselor | 621 South Erie Highway, Hamilton, OH 45011 | 2018-04-24 |
1790282069 | Leroy Thomas Brown | Counselor | 621 South Erie Blvd, Hamilton, OH 45011 | 2018-04-12 |
Find all providers in zip 45011 |
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 |
---|---|---|---|---|
1821613308 | Stephen Blaine Sherwood | Dentist | 710 S 1st St # 1, Hamilton, MT 59840-3014 | 2020-06-10 |
1881228302 | Garden State Smiles Hamilton LLC | Dentist | 3100 Quakerbridge Rd Ste 5, Hamilton, NJ 08619-1658 | 2020-02-24 |
1154820751 | Gunjan Parmar | Dentist | 731 Route 33 Ste 4, Hamilton, NJ 08619-4418 | 2018-02-08 |
1871091488 | Dr Joseph Copas Liberty West Dental Clinic LLC | Dentist | 2201 Nw Washington Blvd Ste C, Hamilton, OH 45013-5835 | 2018-01-29 |
1881077311 | Daniel Wharton | Dentist | 215 N 10th St Ste D, Hamilton, MT 59840-2328 | 2015-07-01 |
1174905103 | Billy Michael Greene | Dentist | 3305 48th St, Hamilton, MI 49419-9685 | 2015-06-25 |
1942611595 | Nida Mahmood | Dentist | 217 Evelyn Ave, Hamilton, NJ 08619-2017 | 2014-05-16 |
1851654388 | Navleen Kaur Thind | Dentist | 731 Route 33, Hamilton, NJ 08619-4418 | 2012-06-19 |
1215212980 | Northwest Health Services, Inc. | Dentist | 500 1/2 S Davis St, Hamilton, MO 64644-1424 | 2011-10-13 |
1952696841 | Jeffrey K Davidson | Dentist | 421 State St, Hamilton, MT 59840-2760 | 2011-06-18 |
Find all providers in HAMILTON |
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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.