CANTON PEDIATRIC DENTAL CENTER (NPI# 1063710010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063710010 |
| Entity Type | Organization |
| Organization Name | CANTON PEDIATRIC DENTAL CENTER |
| Practice Address |
1455 Harrison Ave Nw Suite 200 Canton OH 44708-2621 |
| Practice Telephone | 3309940205 |
| Practice Fax Number | 3309940207 |
| Mailing Telephone | 3309940205 |
| Mailing Fax Number | 3309940207 |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |
| Authorized Official Name | DR. SAFURATU YETUNDE ARANMOLATE (PEDIATRIC DENTIST/MANAGER) |
| Authorized Official Telephone | 2169268181 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
21981 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | NPI | 1104816016 | 01 |
| Street Address |
1455 HARRISON AVE NW SUITE 200 |
| City | CANTON |
| State | OH |
| Zip Code | 44708-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015674 | Mitchell Haut | Internal Medicine | 1455 Harrison Ave Nw, Ste 105, Canton, OH 44708-2609 | 2005-06-28 |
| 1376008912 | Melissa Schnegg | Nurse Practitioner | 1455 Harrison Ave Nw, Canton, OH 44708-2621 | 2019-02-07 |
| 1184099061 | Jessica Lynn Mccune | Nurse Practitioner | 1455 Harrison Ave Nw, Canton, OH 44708-2621 | 2015-12-03 |
| 1649517046 | Total Medical Care | Internal Medicine | 1455 Harrison Ave Nw, Suite 207, Canton, OH 44708-2621 | 2013-01-07 |
| 1467721191 | Hematology & Oncology Associates, Inc | Internal Medicine | 1455 Harrison Ave Nw, Suite 104, Canton, OH 44708-2621 | 2011-12-27 |
| 1679889067 | Christina Marie Mills | Nurse Practitioner | 1455 Harrison Ave Nw, Suite 105, Canton, OH 44708-2621 | 2010-08-24 |
| 1578728630 | Caroline Hong | Dentist | 1455 Harrison Ave Nw, Suite 200, Canton, OH 44708-2621 | 2008-07-28 |
| 1851578249 | Stark Primary Care, LLC | Internal Medicine | 1455 Harrison Ave Nw, Suite 108, Canton, OH 44708-2621 | 2008-01-28 |
| 1508054115 | Kimberly S Myford | Nurse Practitioner | 1455 Harrison Ave Nw, 200, Canton, OH 44708-2621 | 2007-10-09 |
| 1467679589 | Ish Rawal | Internal Medicine | 1455 Harrison Ave Nw, Suite 207, Canton, OH 44708-2621 | 2007-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
| 1104308527 | Toreka Lishay Miller | Social Worker | 2421 13th Nw, Canton, OH 44708 | 2018-09-01 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1467939371 | Kristen M Reardon | Registered Nurse | 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 | 2018-07-24 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
| 1528580933 | Elizabeth Ann Bonchek | Licensed Practical Nurse | 4550 Hills and Dales Nw Road, Canton, OH 44708 | 2017-07-07 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| Find all providers in zip 44708 | ||||
| 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 |
|---|---|---|---|---|
| 1194182535 | Children's Dental Care of Canton | Dentist | 5867 N Lilley Rd, Canton, MI 48187-3623 | 2016-01-15 |
| 1134448301 | Leigh Ann Patel | Dentist | 12420 Cumming Hwy, Ste 306, Canton, GA 30115-7568 | 2010-05-26 |
| 1437398666 | Canton Pediatric Dentistry PC | Dentist | 3395 Sixes Rd, Suite 140, Canton, GA 30114 | 2009-02-11 |
| 1285850875 | Alpana Handa Khetarpal | Dentist | 4176 Holiday St Nw Ste 4, Canton, OH 44718-2532 | 2007-04-18 |
| 1295803542 | Stephen Patrick Girdlestone | Dentist | 3801 Whipple Ave Nw, Suite 4, Canton, OH 44718-4802 | 2006-12-02 |
| 1184076697 | Canton Pediatric Dentistry, Pllc | Dentist | 1657 N Canton Center Rd, Canton, MI 48187-2948 | 2016-07-08 |
| 1639362445 | Cherokee Children's Dentistry | Dentist | 205 Waleska Rd, Suite 2b, Canton, GA 30114-2493 | 2007-08-24 |
| 1720143811 | Anthea Drew | Dentist | 205 Waleska Rd, Suite 2-b, Canton, GA 30114-2493 | 2006-12-27 |
| 1356364665 | Jeffrey Miles Mazzawi | Dentist | 205 Waleska Rd, Suite 2-b, Canton, GA 30114 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931911 | Rachel I Rosen, Dds LLC | Dentist | 9964 Vail Dr Ste 1, Twinsburg, OH 44087-2972 | 2020-10-30 |
| 1861014334 | Page Pediatric Dentistry | Dentist | 5699 Innovation Dr, Dublin, OH 43016-3312 | 2020-05-07 |
| 1629602412 | Tuka N/a Sada | Dentist | 9601 Chester Ave Rm 284-h, Cleveland, OH 44106-1666 | 2020-03-02 |
| 1992336093 | Al Saad Dental LLC | Dentist | 7250 Center St Ste C, Mentor, OH 44060-4920 | 2020-01-28 |
| 1912547811 | Cincy Pediatric Dentistry, LLC | Dentist | 1131 Cryer Ave, Cincinnati, OH 45208 | 2020-01-09 |
| 1790338168 | Corbin Salthouse | Dentist | 13390 Cedar Rd, Cleveland Heights, OH 44118-2955 | 2019-07-24 |
| 1588223929 | Amber Sun | Dentist | 11100 Euclid Ave # Rb&c1200, Cleveland, OH 44106-1716 | 2019-06-10 |
| 1710546437 | Kyle R. Jackson, Dds, LLC | Dentist | 4090 Indian Ripple Rd Unit 102, Beavercreek, OH 45440-3253 | 2019-06-06 |
| 1932764107 | Cuadra Pediatric Dentistry, LLC | Dentist | Cuadra Pediatric Dentistry, LLC, 486 Wentz Street, Tiffin, OH 44883 | 2019-05-03 |
| 1265901136 | Ohio Dental Team LLC | Dentist | 7690 First Place, Bldg D, Suite E, Oakwood, OH 44146 | 2018-11-20 |
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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.