CROSS CREEK DENTAL CARE - MOUNT VERNON,LLC (NPI# 1114262847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114262847 |
| Entity Type | Organization |
| Organization Name | CROSS CREEK DENTAL CARE - MOUNT VERNON,LLC |
| Practice Address |
214 E Chestnut St Mount Vernon OH 43050-3447 |
| Practice Telephone | 7407258000 |
| Mailing Telephone | 7407258000 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-18 |
| Authorized Official Name | DR. JAMES T LEON (OWNER) |
| Authorized Official Telephone | 7407258000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
18705 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | X RAY REGISTRATION | BL1311531 | 01 |
| Street Address |
214 E CHESTNUT ST |
| City | MOUNT VERNON |
| State | OH |
| Zip Code | 43050-3447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
| 1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
| 1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
| 1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
| 1962892661 | Mount Vernon Nh LLC | Assisted Living Facility | 1135 East Gambier Street, Mount Vernon, OH 43050 | 2015-02-02 |
| 1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
| 1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
| 1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
| 1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| Find all providers in zip 43050 | ||||
| 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 |
|---|---|---|---|---|
| 1467003160 | Elevation Dental Studio, Dmd, P.C. | Dentist | 545 Gramatan Ave Unit B, Mount Vernon, NY 10552-2103 | 2019-09-24 |
| 1659927515 | Manogna Deepthi Yakasiri | Dentist | 4201 Broadway St Ste C, Mount Vernon, IL 62864-2282 | 2019-08-15 |
| 1982263463 | Graham Whinery | Dentist | 908 Highway 37, Mount Vernon, TX 75457-4500 | 2019-06-10 |
| 1184197386 | Rockcastle County Hospital, Inc. | Dentist | 75 Newcomb Ave, Mount Vernon, KY 40456-2732 | 2019-01-10 |
| 1346739430 | Broadway Smiles Dental PC | Dentist | 105 Stevens Ave Ste 302, Mount Vernon, NY 10550-2680 | 2018-05-04 |
| 1629468566 | Franklin Dentistry Associates Pa | Dentist | 908 Texas Highway 37, Mount Vernon, TX 75457-4500 | 2015-01-30 |
| 1326387341 | Edly Destine | Dentist | 88 W Lincoln Ave Ste 102, Mount Vernon, NY 10550-1181 | 2013-02-11 |
| 1104142918 | David Keith Uebelhack | Dentist | 803 East Fourth St., Mount Vernon, IN 47620-0673 | 2010-04-19 |
| 1821324112 | Associates In Dentistry LLC | Dentist | 940 W Main St Unit A, Mount Vernon, KY 40456-2518 | 2009-10-21 |
| 1205089232 | Gentle Dentistry | Dentist | 2100 E Section St Ste 101, Mount Vernon, WA 98274-9132 | 2008-11-04 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 43050 |
Please comment or provide details below to improve the information on CROSS CREEK DENTAL CARE - MOUNT VERNON,LLC.
| 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.