JUSTIN SOUTHWARD (NPI# 1316468317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316468317 |
| Entity Type | Individual |
| Full Name | JUSTIN SOUTHWARD |
| Credential | DMD |
| Practice Address |
1191 Westwood Dr Van Wert OH 45891 |
| Mailing Address |
1191 Westwood Dr Van Wert OH 45891-2464 |
| Practice Telephone | 4192386747 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2019-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30.025625 | OH | Dental Providers |
| N | 122300000X | Dentist | 12012755A | IN | Dental Providers |
| Street Address |
1191 WESTWOOD DR |
| City | VAN WERT |
| State | OH |
| Zip Code | 45891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932274099 | Derry Drugs Inc | Pharmacist | 1191 Westwood Dr, Van Wert, OH 45891 | 2006-11-22 |
| 1952966756 | Shannon Link | Pharmacist | 1191 Westwood Dr, Van Wert, OH 45891-2464 | 2019-05-07 |
| 1003337742 | Brittany Mawer | Nurse Practitioner | 1191 Westwood Dr, Van Wert, OH 45891-2464 | 2017-07-03 |
| 1295186609 | Hiba Rehman | Internal Medicine | 1191 Westwood Dr, Van Wert, OH 45891-2464 | 2016-06-27 |
| 1568646560 | Family Health Care of Northwest Ohio, Inc | Community/Behavioral Health | 1191 Westwood Dr, Van Wert, OH 45891-2464 | 2007-12-27 |
| 1134296502 | Family Health Care of Northwest Ohio, Inc. | Clinic/Center | 1191 Westwood Dr, Van Wert, OH 45891-2464 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638172 | Katlynn A Dotson | Social Worker | 160 Fox Road, Van Wert, OH 45891 | 2020-01-14 |
| 1982107975 | Van Wert Medical Services, Ltd. | Clinic/Center | 214 Towne Center Blvd, Van Wert, OH 45891 | 2018-03-15 |
| 1871800698 | Ronetta E Marhoover | Nurse Practitioner | 1052 S Washington Street, Van Wert, OH 45891 | 2010-09-01 |
| 1780918243 | Sherry Ann Eibling | Nurse's Aide | 3683 St Rt 127n, Van Wert, OH 45891 | 2009-09-30 |
| 1053552596 | Betty Jean Miller | Massage Therapist | 7079 Us. Rt. 127 N., Van Wert, OH 45891 | 2009-03-12 |
| 1578700399 | P & R Home Iv Service Inc | Pharmacy | 16937 Defiance Trail, Van Wert, OH 45891 | 2009-01-15 |
| 1619167236 | Scott David Shie | Urology | Van Wert Health Urology, 140 Fox Rd. Ste 105, Van Wert, OH 45891 | 2007-07-30 |
| 1386866283 | John Carl Cook Jr. | Dentist | 723 W Main St, Van Wert, OH 45891 | 2007-05-02 |
| 1396866620 | Orthopaedic Institute of Ohio, Inc. | Orthopaedic Surgery | 1180 Professional Drive, Van Wert, OH 45891 | 2007-04-03 |
| 1659400224 | Hearth & Home Assisted Living | Assisted Living Facility | 1118 Westwood Drive, Van Wert, OH 45891 | 2007-03-02 |
| Find all providers in zip 45891 | ||||
| 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 |
|---|---|---|---|---|
| 1912125832 | Jeffery-mohr Dentistry, Inc. | Dentist | 685 Fox Rd, Suite 103, Van Wert, OH 45891-2471 | 2007-04-23 |
| 1437261609 | Loreen Kay Frey | Dentist | 1142 Westwood Dr, Van Wert, OH 45891 | 2006-08-31 |
| 1457469918 | Gerald Robert Burgei | Dentist | 1196 Professional Dr, Van Wert, OH 45833 | 2006-08-26 |
| 1073527032 | Kevin Michael Laing | Dentist | 101 S Shannon St, Van Wert, OH 45891-1926 | 2006-07-27 |
| 1386165975 | Jennifer Swick | Dentist | 1196 Professional Dr, Van Wert, OH 45891-2461 | 2017-07-05 |
| 1285013516 | Erica Unverferth | Dentist | 707 Fox Rd, Suite 200, Van Wert, OH 45891-2451 | 2015-05-19 |
| 1447368915 | John K Eversman Dds Inc | Dentist | 120 W Main St, Suite 300, Van Wert, OH 45891 | 2006-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372583 | Jacob Falter | Dentist | 4818 Hillcrest St S, Hilliard, OH 43026-1610 | 2020-09-24 |
| 1508476409 | Holpuch Dental Inc | Dentist | 340 Ridge Rd Ste 2, Newton Falls, OH 44444-1264 | 2020-08-05 |
| 1336758762 | Swati Verma | Dentist | 9850 Colerain Ave, Cincinnati, OH 45251-1470 | 2020-07-31 |
| 1508484320 | Kayla Fike D.d.s. LLC | Dentist | 5311 Broadview Rd, Parma, OH 44134-1617 | 2020-07-08 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1346867132 | Ashley Nicole Billings | Dentist | 4640 W Alexis Rd Ste 200, Toledo, OH 43623-1182 | 2020-06-29 |
| 1962028456 | Hiralben Patel | Dentist | 125 Amy Dr, Bryan, OH 43506-9086 | 2020-06-19 |
| 1942825815 | James Zaiger | Dentist | 73 W 5th Ave, Columbus, OH 43201-3218 | 2020-06-16 |
| 1831713015 | Matthew T Chaney | Dentist | 720 W 3rd Ave Apt 207, Columbus, OH 43212-3157 | 2020-06-03 |
| 1417570250 | Julissa E Burgos | Dentist | 5046 Turney Rd, Garfield Heights, OH 44125-2503 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
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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.