FAYETTE COUNTY DENTAL CLINIC (NPI# 1235298480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235298480 |
| Entity Type | Organization |
| Organization Name | FAYETTE COUNTY DENTAL CLINIC |
| Other Organization Name | THE COMMUNITY ACTION COMMISSION OF FAYETTE COUNTY INC |
| Practice Address |
1351 Leesburg Ave Suite 100 Washington Court House OH 43160 |
| Mailing Address |
324 East Court Street Washington Court House OH 43160 |
| Practice Telephone | 7403334411 |
| Practice Fax Number | 7403330110 |
| Mailing Telephone | 7403357282 |
| Mailing Fax Number | 7403356802 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JACK HAGERTY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7403357282 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2216837 | 05 |
| Other Name | Type Code |
|---|---|
| The Community Action Commission of Fayette County Inc | Other Name - Individual/Organization |
| Street Address |
1351 LEESBURG AVE SUITE 100 |
| City | WASHINGTON COURT HOUSE |
| State | OH |
| Zip Code | 43160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154488187 | Community Action Commission of Fayette County | Voluntary or Charitable | 1351 Leesburg Ave, Suite 100, Washington Court House, OH 43160-8610 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114437324 | Sheri Hamm | Licensed Practical Nurse | 1771 Old Palmer Rd, Washington Courthouse, OH 43160 | 2017-10-03 |
| 1255717005 | Rhonda Evans | Nurse Practitioner | 1270 Us 22 Nw, Washington Courthouse, OH 43160 | 2015-08-04 |
| 1154744209 | Bethany D Newsome | Speech-Language Pathologist | 942 Old Chillicothe Road Se, Washington Court House, OH 43160 | 2014-01-27 |
| 1043565187 | Janice D. Muslar | Home Health Aide | 620 Peddicord Ave, Washington Ch, OH 43160 | 2012-07-15 |
| 1568749869 | Valerie Jean Beirise | Nurse Practitioner | 1397 Leesburg Avenue, Washington Courthouse, OH 43160 | 2011-11-15 |
| 1447578687 | Kami Sue Campbell | Registered Nurse | 1270 Us Rte 22 Nw, Washington Court House, OH 43160 | 2010-05-12 |
| 1396980033 | Jason Barrett Cherry Sr. | Registered Nurse | 718 High Street, Washington Court House, OH 43160 | 2008-12-10 |
| 1760653638 | Hcf of Washington, Inc. | Skilled Nursing Facility | 555 North Glenn Avenue, Washington Court House, OH 43160 | 2008-03-18 |
| 1376760967 | Coil Assisted Transportation | Non-emergency Medical Transport (VAN) | 892 Johnson Road, Washington Court House, OH 43160 | 2007-04-18 |
| 1730302480 | Christine R Wall Dds and Gregory J Wall Dds Ltd | Dentist | 211 Glenn Avenue, Washington Court House, OH 43160 | 2007-04-11 |
| Find all providers in zip 43160 | ||||
| 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 |
|---|---|---|---|---|
| 1942510268 | Family Dental Care | Dentist | 1387 Leesburg Ave, Washington Court House, OH 43160-8655 | 2010-10-20 |
| 1730302480 | Christine R Wall Dds and Gregory J Wall Dds Ltd | Dentist | 211 Glenn Avenue, Washington Court House, OH 43160 | 2007-04-11 |
| 1790813913 | John Thomas Jordan | Dentist | 1414 Washington Ave # 988, Washington Court House, OH 43160-2326 | 2007-03-01 |
| 1942355508 | David Richard Ginn I | Dentist | 1109 Washington Ave, Washington Court House, OH 43160-2105 | 2007-01-24 |
| 1689753386 | Warren L Craig | Dentist | 743 Carolyn Rd, Washington Court House, OH 43160-2348 | 2006-11-03 |
| 1003913237 | Family Dental Care LLC | Dentist | 732 Highland Ave, Washington Court House, OH 43160 | 2006-09-20 |
| 1295395713 | Joseph Kohan | Dentist | 308 Highland Ave, Washington Court House, OH 43160-1992 | 2019-06-17 |
| 1982157103 | Ryan Louis Naylor | Dentist | 308 Highland Ave, Washington Court House, OH 43160-1992 | 2016-07-25 |
| 1003265638 | Huong Vien Trinh | Dentist | 1387 Leesburg Ave, Washington Court House, OH 43160-8655 | 2016-06-04 |
| 1386760817 | Thomas Kent Beyl | Dentist | 308 Highland Ave, Suite A, Washington Court House, OH 43160 | 2007-03-22 |
| Find all providers in WASHINGTON COURT HOUSE | ||||
| City | WASHINGTON COURT HOUSE |
| Zip Code | 43160 |
Please comment or provide details below to improve the information on FAYETTE COUNTY DENTAL CLINIC.
| 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.