MUNSON DENTAL AND FACIAL AESTHETICS (NPI# 1831693019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831693019 |
| Entity Type | Organization |
| Organization Name | MUNSON DENTAL AND FACIAL AESTHETICS |
| Practice Address |
4811 Munson St Nw Canton OH 44718-3614 |
| Practice Telephone | 2342152735 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | DR. STEFANIE CAIN NIKODEM (OPERATIONS MANAGER) |
| Authorized Official Telephone | 2342152735 |
| Authorized Official Credential | DDS |
| 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 |
4811 MUNSON ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740394550 | Drs. Rossetti & Fanno, Inc. | Dentist | 4811 Munson St Nw, Canton, OH 44718-3614 | 2006-08-18 |
| 1891173969 | Fanno and Scherer Orthodontics | Dentist | 4811 Munson St Nw, Canton, OH 44718-3614 | 2015-05-11 |
| 1386022440 | Jason Scherer | Dentist | 4811 Munson St Nw, Canton, OH 44718-3614 | 2015-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958603 | Inspire Dentistry Pllc | Clinic/Center | 43050 Ford Rd Ste 190, Canton, MI 48187-3359 | 2019-12-03 |
| 1730647272 | Epic Smile Centers of Michigan Pllc | Clinic/Center | 45001 Ford Rd # 104-d, Canton, MI 48187-2907 | 2019-03-04 |
| 1437573748 | Dentistry At Hickory Flat PC | Clinic/Center | 6199 Hickory Flat Hwy Ste 130, Canton, GA 30115-7255 | 2014-02-06 |
| 1811161060 | David N. Kam, D.d.s., P.C. | Clinic/Center | 155 N Canton Center Rd, Canton, MI 48187-2901 | 2008-04-18 |
| 1801919287 | Oakland Family Dental Care, Plc | Clinic/Center | 7184 Meadowbrook Dr, Canton, MI 48187-3552 | 2007-04-09 |
| 1154929594 | Sean R O'brien | Clinic/Center | 1716 S Lilley Rd, Canton, MI 48188-1108 | 2020-10-16 |
| 1407462187 | Canton Ardent | Clinic/Center | 45650 Ford Rd, Canton, MI 48187-5432 | 2020-09-18 |
| 1073146726 | Forever Smiles Orthodontics Pllc | Clinic/Center | 4227 S Canton Center Rd, Canton, MI 48188-2448 | 2020-02-20 |
| 1609439728 | Joseph Gondoly Dds PC | Clinic/Center | 44356 Cherry Hill Rd, Canton, MI 48187-3274 | 2019-04-15 |
| 1275910226 | Williams Family Dental Group Inc | Clinic/Center | 4774 Munson St Nw, Suite 303, Canton, OH 44718-3634 | 2015-04-29 |
| Find all providers in CANTON | ||||
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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.