KROTHAPALLI DENTAL GROUP GRANVILLE LLC (NPI# 1700393667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700393667 |
| Entity Type | Organization |
| Organization Name | KROTHAPALLI DENTAL GROUP GRANVILLE LLC |
| Practice Address |
592 Newark Granville Rd Granville OH 43023-1436 |
| Practice Telephone | 7405871631 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |
| Authorized Official Name | NANARAO KROTHAPALLI (DENTIST) |
| Authorized Official Telephone | 6172231652 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
592 NEWARK GRANVILLE RD |
| City | GRANVILLE |
| State | OH |
| Zip Code | 43023-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114562543 | Healing Horizons Professional Counseling LLC | Counselor | 927 River Road, Granville, OH 43023 | 2019-11-08 |
| 1376109892 | Kadian Samantha Miracle | Psychologist | 100 West College Street, Whisler Hall, Granville, OH 43023 | 2019-05-10 |
| 1710331715 | Navin Muni | Family Medicine | 1264 Weaver Drive, Granville, OH 43023 | 2016-04-16 |
| 1316335268 | Derek Fry | Specialist/Technologist | 200 Livingston Dr, Granville, OH 43023 | 2014-12-30 |
| 1174880850 | Granville Township Trustees | Ambulance | 500 S. Main Street, Granville, OH 43023 | 2012-04-18 |
| 1700022639 | Mid-ohio Counseling, LLC | Community/Behavioral Health | 905a River Road, Granville, OH 43023 | 2008-12-24 |
| 1578718540 | Perry Franklin Watson IIi | Chiropractor | 119 South Prospect Street, Granville, OH 43023 | 2008-11-18 |
| 1053524611 | Eric Ross Winters | Specialist/Technologist | 200 Livingston Way, Denison University Department of Physical Education, Granville, OH 43023 | 2007-05-08 |
| 1699988659 | Lakeesha Nicole Leonard | Specialist/Technologist | Denison University Physical Education Department, 200 Livingston Dr, Granville, OH 43023 | 2007-05-07 |
| 1447386537 | Christopher D Avery | Dentist | 127 South Prospect St, Granville, OH 43023 | 2007-02-26 |
| Find all providers in zip 43023 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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| 1073120580 | Sunbury Dental Group Joseph W Papp Dds LLC | Clinic/Center | 450 S Miller Dr Ste 200, Sunbury, OH 43074-9024 | 2020-09-29 |
| 1093329914 | Travis Clark Dds LLC | Clinic/Center | 1248 Columbus Ave Ste 8, Lebanon, OH 45036-9005 | 2020-09-08 |
| 1336752344 | New Day Centerville LLC | Clinic/Center | 8340 Yankee St, Centerville, OH 45458-1808 | 2020-08-28 |
| 1891308029 | Magnolia Grove City LLC | Clinic/Center | 2053 Stringtown Rd, Grove City, OH 43123-2930 | 2020-08-27 |
| 1215549290 | Patel Family Dental LLC | Clinic/Center | 100 Scott Farms Blvd, Marysville, OH 43040-7069 | 2020-08-20 |
| 1245858083 | Jacko & Siefker Dds, LLC | Clinic/Center | 210 Heritage Dr, Wellington, OH 44090-8949 | 2020-07-08 |
| 1417572595 | Southern Ohio Mini Dental Implant Center | Clinic/Center | 41 E South St, Jackson, OH 45640-1638 | 2020-06-15 |
| 1508499567 | Westlake Endodontics LLC | Clinic/Center | 30400 Detroit Rd Ste 209, Westlake, OH 44145-1855 | 2020-02-18 |
| 1629617980 | Randall Niederkohr,d.d.s,inc. | Clinic/Center | 27 St Lawrence Dr Ste 109, Tiffin, OH 44883-8314 | 2020-01-03 |
| Find all providers with the same taxonomy | ||||
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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.