DR. BRYAN KING PHILIP (NPI# 1912191735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912191735 |
| Entity Type | Individual |
| Full Name | DR. BRYAN KING PHILIP |
| Credential | D.D.S. |
| Practice Address |
9930 Johnnycake Ridge Rd Suite 2a Mentor OH 44060-6752 |
| Practice Telephone | 4403523535 |
| Mailing Telephone | 4403523535 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30.016305 | OH | Dental Providers |
| Street Address |
9930 JOHNNYCAKE RIDGE RD SUITE 2A |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-6752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487820676 | Horvath Medical Supply Inc | Prosthetist | 9930 Johnnycake Ridge Rd, Unit 1c, Mentor, OH 44060-6771 | 2008-05-07 |
| 1578736658 | Horvath Medical Supply, Inc. | Prosthetic/Orthotic Supplier | 9930 Johnnycake Ridge Rd, Unit 1c, Mentor, OH 44060-6752 | 2008-04-09 |
| 1568642890 | Ellen L. Ellsworth, Od Inc | Optometrist | 9930 Johnnycake Ridge Rd, Suite 4b, Mentor, OH 44060-6752 | 2007-11-03 |
| 1477757904 | Kevin C Robertson | Specialist/Technologist | 9930 Johnnycake Ridge Rd, Suite 6b, Mentor, OH 44060-6752 | 2007-06-11 |
| 1225241367 | Victor Steven Greco | Dentist | 9930 Johnnycake Ridge Rd, Suite 1d, Mentor, OH 44060-6752 | 2007-05-07 |
| 1437297264 | Ellen Lille Ellsworth | Optometrist | 9930 Johnnycake Ridge Rd, Suite 4b, Mentor, OH 44060-6752 | 2007-02-02 |
| 1457338097 | Kenneth Michael Salerno | Dentist | 9930 Johnnycake Ridge Rd, 1-f, Mentor, OH 44060-6752 | 2005-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| 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 |
|---|---|---|---|---|
| 1376781716 | Kala Sagar Madugula | Dentist | 7610 Mentor Ave, Mentor, OH 44060-5411 | 2009-01-22 |
| 1790955532 | Hayat Ali Dds Inc | Dentist | 9853 Johnnycake Ridge Rd, Mentor, OH 44060-6700 | 2008-03-07 |
| 1073729901 | Craig A Nyerges | Dentist | 8827 Mentor Ave, Mentor, OH 44060-6211 | 2007-05-15 |
| 1972717916 | Frank Gus Komar | Dentist | 7708 Lake Shore Blvd, Mentor, OH 44060-3321 | 2007-05-09 |
| 1316150527 | Allcare Dental & Dentures of Ohio - Bates | Dentist | 7697 Mentor Ave, Mentor, OH 44060-5540 | 2007-05-07 |
| 1528180395 | Ronald A Cimaglio | Dentist | 9571 Mentor Ave, Mentor, OH 44060-4521 | 2007-04-04 |
| 1710032347 | Anna B Visger | Dentist | 7553 Center St, Mentor, OH 44060-6001 | 2007-01-24 |
| 1609934918 | Estela Viviana Decastecker | Dentist | 7320 Industrial Park Blvd, Mentor, OH 44060-5318 | 2006-12-05 |
| 1124199781 | Richard Anthony Pryatel | Dentist | 7915 Munson Road, Suite 5, Mentor, OH 44060 | 2006-11-13 |
| 1578640066 | Mentor Dental Arts Ronald L. Micchia Dds, Inc. | Dentist | 9140 Lakeshore Blvd, Mentor, OH 44060 | 2006-11-01 |
| Find all providers in MENTOR | ||||
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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.