TIMOTHY J ITEN (NPI# 1699853051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699853051 |
Entity Type | Individual |
Full Name | TIMOTHY J ITEN |
Credential | D.D.S. |
Practice Address |
1 Marion Ave Ste 201 Mansfield OH 44903-7905 |
Practice Telephone | 4195225437 |
Mailing Telephone | 4195225437 |
Enumeration Date | 2006-11-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
19305 | OH | Dental Providers |
Street Address |
1 MARION AVE STE 201 |
City | MANSFIELD |
State | OH |
Zip Code | 44903-7905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346374683 | Andrew M. Gast | Dentist | 1 Marion Ave Ste 201, Mansfield, OH 44903-7905 | 2007-03-16 |
1144308586 | Andrew M. Gast, D.d.s., Inc. | Dentist | 1 Marion Ave Ste 201, Mansfield, OH 44903-7905 | 2006-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710495304 | Meredith Remy | Specialist/Technologist | 864 St. Rt. 314 S, Mansfield, OH 44903 | 2018-01-17 |
1639695174 | Judd Mateo | Home Health Aide | 1027 Neil Circle N., Mansfield, OH 44903 | 2017-08-16 |
1942722517 | Leighana Nichole Smith | Licensed Practical Nurse | 1451 Lucas Rd., Mansfield, OH 44903 | 2017-07-14 |
1528481710 | Sarah Elizabeth Hoffman | Occupational Therapy Assistant | 1600 Crider Rd., Mansfield, OH 44903 | 2014-01-24 |
1881025195 | Erica Renee Hanley | Occupational Therapy Assistant | 1600 Crider Road, Mansfield, OH 44903 | 2013-12-12 |
1164768917 | Colette Elaine Germann | Licensed Practical Nurse | 695 Satinwood N Cr, Mansfield, OH 44903 | 2012-12-26 |
1386996577 | Nicky Lynn Cole | Home Health Aide | 135 Columbia Avenue, Mansfield, OH 44903 | 2012-10-11 |
1215217989 | Darein Lee Wilson | Nurse's Aide | 175 Colonial Drive, Mansfield, OH 44903 | 2011-08-25 |
1205070802 | Simone Nannette Robinson | Licensed Practical Nurse | 576 Garfield Place, Mansfield, OH 44903 | 2009-04-27 |
1659518991 | Amelia Faye Johnson Grund | Nurse Practitioner | 336 Glessner Ave, Mob 2nd Fl, Mansfield, OH 44903 | 2009-01-08 |
Find all providers in zip 44903 |
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 |
---|---|---|---|---|
1679014567 | Corey Menou | Dentist | 1830 E Broad St Ste 104, Mansfield, TX 76063-9161 | 2017-03-13 |
1518353184 | Elias E Chahine | Dentist | 1756 Broad Park Cir S #100, Mansfield, TX 76063 | 2015-04-10 |
1508133224 | Pediatric Dentristry of Mansfield,pllc | Dentist | 1830 E Broad St, Ste104, Mansfield, TX 76063-9162 | 2011-11-23 |
1396901922 | Daniel E Wright | Dentist | 1830 E. Broad St., Suite 104, Mansfield, TX 76063-2874 | 2008-08-04 |
1811106909 | Heather Ann Gregg | Dentist | 245 Sterkle Blvd, Suite 101, Mansfield, OH 44907 | 2007-05-22 |
1972649143 | Deborah C. Sullivan | Dentist | 1200 U.S. Hwy 287 North, Suite 102, Mansfield, TX 76063 | 2007-01-29 |
1487740114 | Jackson Cockley | Dentist | 1145 Aspira Ct, Mansfield, OH 44906-4125 | 2006-10-04 |
1356328041 | Randolph W Hamilton IIi | Dentist | 1759 Broad Park Cir S, Mansfield, TX 76063 | 2005-12-23 |
1285921825 | Blane Reynolds Hamilton | Dentist | 1759 Broad Park Cir S, Ste 205, Mansfield, TX 76063-7833 | 2011-07-04 |
1669779328 | Hyde,bailey,miller-south Partnership | Dentist | 2300 Matlock Rd, Suite 28, Mansfield, TX 76063-5019 | 2011-02-16 |
Find all providers in MANSFIELD |
Please comment or provide details below to improve the information on TIMOTHY J ITEN.
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.