HUDOBA DENTAL 1, INC (NPI# 1194175240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194175240 |
| Entity Type | Organization |
| Organization Name | HUDOBA DENTAL 1, INC |
| Other Organization Name | PREMIER DENTAL OF SUNBURY |
| Practice Address |
169 Oh-3 Sunbury OH 43074 |
| Mailing Address |
4883 Elks Dr Columbus OH 43214-1709 |
| Practice Telephone | 6144500025 |
| Mailing Telephone | 6144500025 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |
| Authorized Official Name | DR. DOUGLAS HUDOBA (OWNER/DENTIST) |
| Authorized Official Telephone | 6144500025 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30.024450 | OH | Dental Providers |
| Other Name | Type Code |
|---|---|
| Premier Dental of Sunbury | Doing Business As Name - Organization |
| Street Address |
169 OH-3 |
| City | SUNBURY |
| State | OH |
| Zip Code | 43074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306225727 | Douglas Hudoba | Dentist | 169 Oh-3, Sunbury, OH 43074 | 2015-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104218718 | Justin O'grady | Registered Nurse | 59 Barleycorn Dr, Sunbury, OH 43074 | 2015-02-19 |
| 1285873919 | Jessica Ruth Thiessen Long | Family Medicine | 100 Tippett Ct., Suite 101, Sunbury, OH 43074 | 2009-02-19 |
| 1699928804 | The Kroger Co | Pharmacy | 131 State Route 3, Sunbury, OH 43074 | 2008-10-31 |
| 1083622930 | Central Ohio Skin & Cancer Inc | Dermatology | 100 Tippett Court, Sunbury, OH 43074 | 2006-08-04 |
| 1891709812 | Lora Lynn Weeks | Nurse Practitioner | 111 W Cherry St, Sunbury, OH 43074 | 2006-07-27 |
| 1679561377 | Thomas W Erndt | Chiropractor | 123 State Route 3, Suite A, Sunbury, OH 43074 | 2005-10-07 |
| 1700229184 | Crystal D Reis | Massage Therapist | 44 S Kintner Pkwy, Suite E, Sunbury, OH 43074 | 2013-04-16 |
| 1215155221 | Dean P. Backiewicz | Dentist | 450 S. Miller Dr., Suite 200, Sunbury, OH 43074-0539 | 2007-04-23 |
| 1548669583 | Nicole Valot | Speech-Language Pathologist | 252 Butterfly Dr, Sunbury, OH 43074-6000 | 2014-08-15 |
| 1780208736 | Kari Richardson | Pharmacist | 131 State Route 3, Sunbury, OH 43074-6900 | 2020-06-05 |
| Find all providers in zip 43074 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306225727 | Douglas Hudoba | Dentist | 169 Oh-3, Sunbury, OH 43074 | 2015-05-19 |
| 1619021524 | William Joseph Rumberger Jr. | Dentist | 828 N 4th St, Sunbury, PA 17801-1216 | 2007-01-22 |
| 1457469397 | Eugene Richard Lucas | Dentist | 317 N 11th St, Sunbury, PA 17801 | 2006-08-29 |
| 1356677868 | Susquehanna River Valley Dental Health Clinic | Dentist | 335 Market St, Suite One, Sunbury, PA 17801-3411 | 2009-10-19 |
| 1437357993 | David C Anthony | Dentist | 100 Tippett Ct, Suite 103, Sunbury, OH 43074-8572 | 2007-07-06 |
| 1669525069 | Anthony Dental Care | Dentist | 257 W Granville St, Sunbury, OH 43074-9684 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372583 | Jacob Falter | Dentist | 4818 Hillcrest St S, Hilliard, OH 43026-1610 | 2020-09-24 |
| 1508476409 | Holpuch Dental Inc | Dentist | 340 Ridge Rd Ste 2, Newton Falls, OH 44444-1264 | 2020-08-05 |
| 1336758762 | Swati Verma | Dentist | 9850 Colerain Ave, Cincinnati, OH 45251-1470 | 2020-07-31 |
| 1508484320 | Kayla Fike D.d.s. LLC | Dentist | 5311 Broadview Rd, Parma, OH 44134-1617 | 2020-07-08 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1346867132 | Ashley Nicole Billings | Dentist | 4640 W Alexis Rd Ste 200, Toledo, OH 43623-1182 | 2020-06-29 |
| 1962028456 | Hiralben Patel | Dentist | 125 Amy Dr, Bryan, OH 43506-9086 | 2020-06-19 |
| 1942825815 | James Zaiger | Dentist | 73 W 5th Ave, Columbus, OH 43201-3218 | 2020-06-16 |
| 1831713015 | Matthew T Chaney | Dentist | 720 W 3rd Ave Apt 207, Columbus, OH 43212-3157 | 2020-06-03 |
| 1417570250 | Julissa E Burgos | Dentist | 5046 Turney Rd, Garfield Heights, OH 44125-2503 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
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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.