DR. DELLAGATTA & ASSOCIATES (SOUTHERN PARK), INC. (NPI# 1235109604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235109604 |
| Entity Type | Organization |
| Organization Name | DR. DELLAGATTA & ASSOCIATES (SOUTHERN PARK), INC. |
| Other Organization Name | DENTALWORKS |
| Practice Address |
930 Boardman-poland Road Boardman OH 44512 |
| Mailing Address |
Po Box 860036 Minneapolis MN 55486-0036 |
| Practice Telephone | 3306298884 |
| Practice Fax Number | 2165841070 |
| Mailing Telephone | 3306298884 |
| Mailing Fax Number | 2165841070 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2015-12-14 |
| Authorized Official Name | DR. PASQUALE DELLAGATTA (DENTIST/OWNER) |
| Authorized Official Telephone | 3306298884 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTALONE PARTNERS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| DentalWorks | Doing Business As Name - Organization |
| Street Address |
930 BOARDMAN-POLAND ROAD |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| 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 |
|---|---|---|---|---|
| 1780283556 | Ziyad Amir Kadir | Dentist | 300 Tatone St, Boardman, OR 97818-7900 | 2020-10-22 |
| 1083941314 | Melissa Mullane Padgett, Dds, LLC | Dentist | 1006 Boardman Canfield Rd, Suite 1a, Boardman, OH 44512-4278 | 2009-11-06 |
| 1861605677 | Michael H Leone | Dentist | 825 Kentwood Drive, Boardman, OH 44512 | 2007-05-08 |
| 1548485865 | Hayden Family Dentistry Group | Dentist | 300 Tatone, Boardman, OR 97818 | 2007-04-13 |
| 1154462695 | Robert D Perrott | Dentist | 7200 Bristlewood Dr, Boardman, OH 44512-5111 | 2007-02-09 |
| 1730254129 | Raymond Feudo | Dentist | 930 Boardman Portland Road Route 224, Boardman, OH 44512 | 2006-11-21 |
| 1508940446 | Melissa Padgett | Dentist | 1006 Boardman-canfield Rd., Suite 1-a, Boardman, OH 44512 | 2006-10-25 |
| 1225001241 | James M Gentile | Dentist | 6540 South Ave, Suite B, Boardman, OH 44512-3651 | 2006-02-09 |
| 1982685855 | Joseph A Mika | Dentist | 5815 Market St Ste 6, Boardman, OH 44512-2915 | 2005-11-08 |
| 1831741958 | Advantage Dental Group, PC | Dentist | 300 Tatone, Boardman, OR 97818 | 2019-07-09 |
| Find all providers in BOARDMAN | ||||
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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.