DENTISTRY AT WINBURY INC (NPI# 1770693756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770693756 |
| Entity Type | Organization |
| Organization Name | DENTISTRY AT WINBURY INC |
| Practice Address |
8401 Chagrin Road #11 Chagrin Falls OH 44023 |
| Practice Telephone | 4405435020 |
| Practice Fax Number | 4405431344 |
| Mailing Telephone | 4405435020 |
| Mailing Fax Number | 4405431344 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KELLY L MCCLINTOCK (DDS) |
| Authorized Official Telephone | 4405435020 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 14532 | OH | Dental Providers |
| N | 122300000X | Dentist | 21256 | OH | Dental Providers |
| Y | 122300000X | Dentist | 20655 | OH | Dental Providers |
| Street Address |
8401 CHAGRIN ROAD #11 |
| City | CHAGRIN FALLS |
| State | OH |
| Zip Code | 44023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255850244 | Tiffani Lauryn Mattson | Specialist/Technologist | 16783 Snyder Road, Chagrin Falls, OH 44023 | 2017-09-12 |
| 1518407824 | Marcia Shaunta Biggs | Student in an Organized Health Care Education/Training Program | 16754 Findlay St, Chagrin Falls, OH 44023 | 2017-03-06 |
| 1427391853 | Andrea Ward | Obstetrics & Gynecology | 8185 E. Washington Street, Chagrin Falls, OH 44023 | 2013-04-04 |
| 1346576287 | Jennifer Rose Cochran | Home Health Aide | 7695 Pettibone Rd, Chagrin Falls, OH 44023 | 2009-10-28 |
| 1013162700 | Eric Jason Lewis | Registered Nurse | 16515 Munn Rd, Chagrin Falls, OH 44023 | 2008-11-21 |
| 1366628398 | University Hospitals Medical Practices Inc | Orthopaedic Surgery | 8185 E Wahington St #1p, Chagrin Falls, OH 44023 | 2008-01-22 |
| 1376754473 | Washington Square Chiropractic Clinic, LLC | Chiropractor | 8551 East Washington St., Chagrin Falls, OH 44023 | 2007-05-24 |
| 1730309006 | Bainbridge Township | Ambulance | 17822 Chillicothe Road, Chagrin Falls, OH 44023 | 2007-04-27 |
| 1215062625 | Mark C Brown | Psychologist | 9781 Whisperwood Circle, Chagrin Falls, OH 44023 | 2007-02-23 |
| 1417096710 | Debra D Arthur | Speech-Language Pathologist | 7160 Chagrin Road, Suite 125, Bainbridge, OH 44023 | 2007-02-05 |
| Find all providers in zip 44023 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346490950 | Lauren Goldschmidt | Dentist | 220 Nob Hill Oval, Chagrin Falls, OH 44022-2183 | 2008-09-19 |
| 1598947947 | Megan A Shiga | Dentist | 525 E Washington St, Chagrin Falls, OH 44022-4455 | 2007-11-28 |
| 1639120405 | Frank J Soltysiak Jr. | Dentist | 41 N Main St, Ste 301, Chagrin Falls, OH 44022-3016 | 2006-05-15 |
| 1164935136 | Bainbridge Dental Associates, Inc | Dentist | 16775 Chillicothe Rd, Chagrin Falls, OH 44023-4519 | 2017-11-13 |
| 1639617590 | Akiva Reuven Berger | Dentist | 34 S Main St, Chagrin Falls, OH 44022-3248 | 2017-02-10 |
| 1740433051 | Jane L Dodson | Dentist | 16775 Chillicothe Rd, Chagrin Falls, OH 44023-4519 | 2008-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372583 | Jacob Falter | Dentist | 4818 Hillcrest St S, Hilliard, OH 43026-1610 | 2020-09-24 |
| 1508476409 | Holpuch Dental Inc | Dentist | 340 Ridge Rd Ste 2, Newton Falls, OH 44444-1264 | 2020-08-05 |
| 1336758762 | Swati Verma | Dentist | 9850 Colerain Ave, Cincinnati, OH 45251-1470 | 2020-07-31 |
| 1508484320 | Kayla Fike D.d.s. LLC | Dentist | 5311 Broadview Rd, Parma, OH 44134-1617 | 2020-07-08 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1346867132 | Ashley Nicole Billings | Dentist | 4640 W Alexis Rd Ste 200, Toledo, OH 43623-1182 | 2020-06-29 |
| 1962028456 | Hiralben Patel | Dentist | 125 Amy Dr, Bryan, OH 43506-9086 | 2020-06-19 |
| 1942825815 | James Zaiger | Dentist | 73 W 5th Ave, Columbus, OH 43201-3218 | 2020-06-16 |
| 1831713015 | Matthew T Chaney | Dentist | 720 W 3rd Ave Apt 207, Columbus, OH 43212-3157 | 2020-06-03 |
| 1417570250 | Julissa E Burgos | Dentist | 5046 Turney Rd, Garfield Heights, OH 44125-2503 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
| City | CHAGRIN FALLS |
| Zip Code | 44023 |
Please comment or provide details below to improve the information on DENTISTRY AT WINBURY INC.
| 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.