BRIAN L. KRESEVIC, DDS, LLC (NPI# 1235313339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235313339 |
| Entity Type | Organization |
| Organization Name | BRIAN L. KRESEVIC, DDS, LLC |
| Practice Address |
184 S Broadway Geneva OH 44041-1805 |
| Practice Telephone | 4404664884 |
| Practice Fax Number | 4404660636 |
| Mailing Telephone | 4404664884 |
| Mailing Fax Number | 4404660636 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |
| Authorized Official Name | DR. BRIAN LUDWIG KRESEVIC (PRESIDENT) |
| Authorized Official Telephone | 4404664884 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
20027 | OH | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
19986 | OH | Dental Providers |
| Street Address |
184 S BROADWAY |
| City | GENEVA |
| State | OH |
| Zip Code | 44041-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194788190 | Russell Benjamin Cooper Owens | Dentist | 184 S Broadway, Geneva, OH 44041-1805 | 2006-04-10 |
| 1568596815 | Brian Ludwig Kresevic | Dentist | 184 S Broadway, Geneva, OH 44041-1805 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922564376 | 599 West Main Corporation | Intermediate Care Facility, Mentally Retarded | 609 West Main Street, Geneva, OH 44041 | 2019-02-11 |
| 1275887713 | Equal Opportunity Housing, LLC | Intermediate Care Facility, Mentally Retarded | 1200 Sawyer Drive, Geneva, OH 44041 | 2012-11-06 |
| 1588967491 | Megann Harris | Dietitian, Registered | 870 W. Main St., Geneva, OH 44041 | 2010-12-15 |
| 1801073523 | University Primary Care Practices Inc | Orthopaedic Surgery | 890 W Main St # 202, Geneva, OH 44041 | 2008-01-24 |
| 1336349661 | Daniel Edward Walsh | Psychologist | 5187 Old Lake Rd, Geneva, OH 44041 | 2007-07-24 |
| 1992927206 | Darlas Health Care | Exclusive Provider Organization | 481 Blaine, Geneva, OH 44041 | 2007-05-03 |
| 1699987867 | Driftwood Industries LLC | Day Training, Developmentally Disabled Services | 185 Water St., Geneva, OH 44041 | 2007-05-03 |
| 1487866638 | 599 West Main Corporation | Intermediate Care Facility, Mentally Retarded | 599 West Main St., Geneva, OH 44041 | 2007-05-03 |
| 1902964273 | Maaike Ann Jenkins | Physical Therapist | 96 Broadway Street, Geneva, OH 44041 | 2006-12-05 |
| 1265501019 | Northwest Ambulance District | Ambulance | 1480 South Broadway, Geneva, OH 44041 | 2006-11-07 |
| Find all providers in zip 44041 | ||||
| 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 |
|---|---|---|---|---|
| 1649542135 | Debra A. Byers, Dmd, PC | Dentist | 789 Canandaigua Rd, Geneva, NY 14456-2001 | 2012-01-31 |
| 1942536891 | Douglas A, Kenny | Dentist | 260 S Broadway, Geneva, OH 44041-1807 | 2009-10-28 |
| 1821264581 | Family First Dental Associates of Nebraska, P.C. | Dentist | 1008 G St, Geneva, NE 68361-2007 | 2008-05-02 |
| 1306063367 | Stephan Roy Jakubowski | Dentist | 628 W State St, Geneva, IL 60134-2106 | 2007-04-19 |
| 1578687430 | Edgar David Prindle | Dentist | 774 Pre Emption Rd, Geneva, NY 14456-1336 | 2007-03-18 |
| 1639201478 | C. Donald Addona | Dentist | 4 White Springs Cir, Geneva, NY 14456-3008 | 2007-03-09 |
| 1255462800 | Dianne Ruth Triana | Dentist | 174 Washington St, Geneva, NY 14456-2841 | 2007-03-07 |
| 1356471783 | Elizabeth B Sacrey | Dentist | 328 Anderson Blvd, Geneva, IL 60134-1206 | 2007-03-06 |
| 1164551115 | Peter Gordon Grace | Dentist | 140 Washington Street, Geneva, NY 14456 | 2007-03-05 |
| 1407906399 | Frederick William Klee | Dentist | 4075 W Lake Rd, Geneva, NY 14456-9756 | 2007-01-11 |
| Find all providers in GENEVA | ||||
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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.