DAYTON DENTAL CLINIC INC (NPI# 1265642748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265642748 |
| Entity Type | Organization |
| Organization Name | DAYTON DENTAL CLINIC INC |
| Other Organization Name | DOC FAMILY DENTAL |
| Practice Address |
1010 Woodman Dr Dayton OH 45432-1400 |
| Practice Telephone | 9372522000 |
| Practice Fax Number | 9372521224 |
| Mailing Telephone | 9372522000 |
| Mailing Fax Number | 9372521224 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | GARIMA GUPTA (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9374242215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30016151 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0692415 | 05 |
| Other Name | Type Code |
|---|---|
| DOC FAMILY DENTAL | Doing Business As Name - Organization |
| Street Address |
1010 WOODMAN DR |
| City | DAYTON |
| State | OH |
| Zip Code | 45432-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468320 | Christian Mark Hoffman | Physical Therapist | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2005-06-24 |
| 1265032437 | Caitlin Harpring | Physical Therapist | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2020-10-27 |
| 1811504798 | Christopher Mancuso | Physical Therapist | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2020-09-25 |
| 1932664752 | Heidi M. Schindler | Nurse Practitioner | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2019-02-06 |
| 1144704891 | Jcc, LLC | Clinic/Center | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2018-09-19 |
| 1952804437 | Sherry M Arnold | Nurse Practitioner | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2018-03-12 |
| 1912435629 | Mariah Rae Orr | Physician Assistant | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2017-05-24 |
| 1154867794 | Jacqueline Horne | Nurse Practitioner | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2017-01-06 |
| 1669836904 | Elizabeth Gminski | Nurse Practitioner | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2016-04-13 |
| 1376907105 | Shakirat Adebola Bankole | Nurse Practitioner | 1010 Woodman Dr, Dayton, OH 45432-1400 | 2016-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1215480504 | Heather Iaquinta | Registered Nurse | 1430 Linden Ave., Suite 390, Dayton, OH 45432 | 2016-08-03 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1194997718 | Paul G Tarlano Dds Inc | Dentist | 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 | 2008-03-25 |
| 1306018981 | Paul Gerald Tarlano | Dentist | 3621 Dayton Xenia Rd, Beavercreek, OH 45432 | 2008-03-24 |
| 1104035377 | Andrew Brody | Occupational Therapy Assistant | 1974 North Fairfield Road, Beavercreek, OH 45432 | 2007-05-22 |
| 1952476111 | Jeffrey C Miller Dds Inc | Dentist | 4450 Linden Ave, Dayton, OH 45432 | 2006-11-22 |
| 1194898098 | Joseph Warren Shiveley | Dentist | 1555 Marsetta Drive, Dayton, OH 45432 | 2006-11-16 |
| 1710907597 | Integrated Youth Services Inc | Clinic/Center | 1321 Research Park Drive, Dayton, OH 45432 | 2006-07-21 |
| 1730106790 | Lorena L Kvalheim | Psychologist | 1020 Woodman Street, Suite 300, Dayton, OH 45432 | 2006-07-16 |
| Find all providers in zip 45432 | ||||
| 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 |
|---|---|---|---|---|
| 1124508429 | L M Smith Center for Dental Health | Dentist | 180 Walnut Grove Road, Dayton, TN 37321 | 2018-08-16 |
| 1063903961 | Rachel Michelle Eifert | Dentist | 8605 N Dixie Dr, Dayton, OH 45414-2403 | 2018-05-25 |
| 1386193068 | Richland Creek Dental LLC | Dentist | 1272 Market St, Dayton, TN 37321 | 2016-09-23 |
| 1457807448 | Affordable Dentures - Dayton, William Silvestry Ortiz, Dmd, Inc. | Dentist | 233 N Springboro Pike, Dayton, OH 45449-3641 | 2016-08-30 |
| 1588016083 | Harjyot Kaur Bhullar | Dentist | 7111 N Main St Ste 40, Dayton, OH 45415-2558 | 2016-07-07 |
| 1194175737 | Mena Morgan | Dentist | 3 Rebecca Ct, Dayton, NJ 08810-1311 | 2016-06-14 |
| 1093124117 | Joseph Fred Sheringo | Dentist | 7581 Highway 321, Dayton, TX 77535-3889 | 2014-08-04 |
| 1407267073 | Smile Club Pllc | Dentist | 400 E Highway 90 Ste 402, Dayton, TX 77535-2630 | 2014-05-16 |
| 1699028043 | John Sherriff | Dentist | 7376 Wilmington Pike, Dayton, OH 45459-5218 | 2012-10-23 |
| 1295090140 | David Eugene Donnelly | Dentist | 4972 Dayton Liberty Rd, Dayton, OH 45417-5946 | 2012-07-06 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on DAYTON DENTAL CLINIC INC.
| 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.