STAFFORD GENERAL DENTISTRY (NPI# 1205480886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205480886 |
| Entity Type | Organization |
| Organization Name | STAFFORD GENERAL DENTISTRY |
| Practice Address |
2400 Wales Ave Nw Massillon OH 44646-0804 |
| Practice Telephone | 3308327434 |
| Practice Fax Number | 3308322828 |
| Mailing Telephone | 3308327434 |
| Mailing Fax Number | 3308322828 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Authorized Official Name | DR. COREY STAFFORD (DENTIST/MEMEBER) |
| Authorized Official Telephone | 3308327434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
2400 WALES AVE NW |
| City | MASSILLON |
| State | OH |
| Zip Code | 44646-0804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014404 | Anita R Ta | Dentist | 2400 Wales Ave Nw, Ste B, Massillon, OH 44646-2366 | 2005-06-22 |
| 1982118758 | Gabrielle Barbara Dickerhoof | Family Medicine | 2400 Wales Ave Nw, Massillon, OH 44646-0804 | 2017-11-30 |
| 1669625281 | Dhia Hassani, M.d. | Pediatrics | 2400 Wales Ave Nw, Suite D, Massillon, OH 44646-0804 | 2008-10-28 |
| 1457562951 | Ronald J. Saxen, Dds, Inc. | Clinic/Center | 2400 Wales Ave Nw, Suite E, Massillon, OH 44646-0804 | 2007-05-25 |
| 1013034206 | Pediatric and Family Medicine Health Care Inc. | Clinic/Center | 2400 Wales Ave Nw, Suite C & D, Massillon, OH 44646-0804 | 2007-03-23 |
| 1104954288 | Yanke Bionics Inc | Prosthetic/Orthotic Supplier | 2400 Wales Ave Nw, Suite H, Massillon, OH 44646-0804 | 2007-03-01 |
| 1629129499 | Mark Carlton Durkee | Dentist | 2400 Wales Ave Nw, Suite A, Massillon, OH 44646-0804 | 2007-01-16 |
| 1063595767 | Marilyn Payne Kimbrel | Counselor | 2400 Wales Ave Nw, Suite K, Massillon, OH 44646-0804 | 2006-10-24 |
| 1881651594 | Delia Marasigan Slaga | Legal Medicine | 2400 Wales Ave Nw, Suite C, Massillon, OH 44646-0804 | 2006-04-27 |
| 1831156579 | Dionisio C Marasigan | Legal Medicine | 2400 Wales Ave Nw, Suite D, Massillon, OH 44646-0804 | 2006-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
| 1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
| 1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
| 1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
| 1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
| 1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
| 1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
| Find all providers in zip 44646 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891960449 | Lawrence J Salata Dds Inc | Clinic/Center | 8562 Navarre Rd Sw, Massillon, OH 44646-8814 | 2008-04-24 |
| 1457562951 | Ronald J. Saxen, Dds, Inc. | Clinic/Center | 2400 Wales Ave Nw, Suite E, Massillon, OH 44646-0804 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789777 | Jennifer A. Lowe-melzak, Dds, LLC | Clinic/Center | 3349 Whitfield Ave Ste 1, Cincinnati, OH 45220-2084 | 2020-10-29 |
| 1073120580 | Sunbury Dental Group Joseph W Papp Dds LLC | Clinic/Center | 450 S Miller Dr Ste 200, Sunbury, OH 43074-9024 | 2020-09-29 |
| 1093329914 | Travis Clark Dds LLC | Clinic/Center | 1248 Columbus Ave Ste 8, Lebanon, OH 45036-9005 | 2020-09-08 |
| 1336752344 | New Day Centerville LLC | Clinic/Center | 8340 Yankee St, Centerville, OH 45458-1808 | 2020-08-28 |
| 1891308029 | Magnolia Grove City LLC | Clinic/Center | 2053 Stringtown Rd, Grove City, OH 43123-2930 | 2020-08-27 |
| 1215549290 | Patel Family Dental LLC | Clinic/Center | 100 Scott Farms Blvd, Marysville, OH 43040-7069 | 2020-08-20 |
| 1245858083 | Jacko & Siefker Dds, LLC | Clinic/Center | 210 Heritage Dr, Wellington, OH 44090-8949 | 2020-07-08 |
| 1417572595 | Southern Ohio Mini Dental Implant Center | Clinic/Center | 41 E South St, Jackson, OH 45640-1638 | 2020-06-15 |
| 1508499567 | Westlake Endodontics LLC | Clinic/Center | 30400 Detroit Rd Ste 209, Westlake, OH 44145-1855 | 2020-02-18 |
| 1629617980 | Randall Niederkohr,d.d.s,inc. | Clinic/Center | 27 St Lawrence Dr Ste 109, Tiffin, OH 44883-8314 | 2020-01-03 |
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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.