NORTHERN DENTAL SPECIALISTS, DR. STEVEN W GAJDA (NPI# 1023259546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023259546 |
| Entity Type | Organization |
| Organization Name | NORTHERN DENTAL SPECIALISTS, DR. STEVEN W GAJDA |
| Practice Address |
2040 Hubbard Road Madison OH 44057 |
| Practice Telephone | 4404287290 |
| Practice Fax Number | 4404280911 |
| Mailing Telephone | 4404287290 |
| Mailing Fax Number | 4404280911 |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |
| Authorized Official Name | STEVEN W GAJDA (PRESIDENT) |
| Authorized Official Telephone | 4404287290 |
| Authorized Official Credential | DDS, MSD |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN DENTAL SPECIALISTS, DR. STEVEN W GAJDA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
30-022716 | OH | Dental Providers |
| Street Address |
2040 HUBBARD ROAD |
| City | MADISON |
| State | OH |
| Zip Code | 44057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028332 | Charlotte F Kister | Assisted Living Facility | 2358 Hubbard Road, Madison, OH 44057 | 2018-09-26 |
| 1861862336 | Living Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6873 Dave Drive, Madison, OH 44057 | 2015-09-28 |
| 1548526650 | Jessica Cook | Family Medicine | 6270 North Ridge Rd, Madison, OH 44057 | 2012-04-03 |
| 1164651428 | Dr. Edward S. Friedman, Optometrist Inc. | Optometrist | 6067 North Ridge Rd., Madison, OH 44057 | 2009-07-08 |
| 1295908267 | Nathan Tekavec | Physical Therapist | 2583 Walter Green Commons, Madison, OH 44057 | 2008-04-10 |
| 1124228556 | Alan B Spiegel | Pediatrics | 6270 N. Ridge Road, Lake Health Physician Group Madison Pediatrics, Madison, OH 44057 | 2007-07-24 |
| 1083828149 | Mary Kathleen Tascone | Registered Nurse | 6205 Campbell Dr, Madison, OH 44057 | 2007-05-09 |
| 1801016043 | Donna Marie Jones | Home Health Aide | 6082 N Ridge Rd, Madison, OH 44057 | 2007-04-30 |
| 1356466445 | Kist Family Chiropractic & Wellness Centre Inc. | Chiropractor | 2711 Hubbard Rd, Madison, OH 44057 | 2007-03-20 |
| 1306972096 | Melanie Ann Tilley | Registered Nurse | 6878 Dave Dr, Madison, OH 44057 | 2007-02-26 |
| Find all providers in zip 44057 | ||||
| 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 |
|---|---|---|---|---|
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| 1417169160 | Children's Dental Center of Madison, S.c. | Dentist | 7001 Old Sauk Road, #200, Madison, WI 53717 | 2007-05-04 |
| 1982759791 | Pediatric Dentistry Associates, LLC | Dentist | 149 Durham Rd Ste 33, Madison, CT 06443-2680 | 2007-01-24 |
| 1790849404 | Nathan Keil Beavers | Dentist | 119 Colony Crossing Way, Suite 740, Madison, MS 39110-6322 | 2006-12-20 |
| 1164533345 | Douglas W Wilson | Dentist | 100 River Place, Suite 110, Madison, WI 53716 | 2006-08-31 |
| 1972614154 | Anthony R Hernandez | Dentist | 5116 American Family Dr, Madison, WI 53718-8331 | 2006-08-31 |
| 1720197403 | David Paul Lubbe | Dentist | 1739 Michigan Rd, Madison, IN 47250-2721 | 2006-08-29 |
| 1518928910 | Kurt Robert Swauger | Dentist | 500 Lentz Dr, Ste 40, Madison, TN 37115-5135 | 2006-03-28 |
| 1407838725 | Amy Elizabeth Kramer | Dentist | 7001 Old Sauk Rd, Madison, WI 53717-2308 | 2005-11-14 |
| 1609234285 | Britney Bries | Dentist | 7001 Old Sauk Rd Ste 200, Madison, WI 53717 | 2016-02-10 |
| Find all providers in MADISON | ||||
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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.