NEWARK DENTAL GROUP, LLC (NPI# 1376055509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376055509 |
| Entity Type | Organization |
| Organization Name | NEWARK DENTAL GROUP, LLC |
| Practice Address |
583 Moull St Newark OH 43055-2909 |
| Mailing Address |
4653 Mccurdy Dr New Albany OH 43054-9631 |
| Practice Telephone | 7405871954 |
| Mailing Telephone | 6145653294 |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-10-27 |
| Authorized Official Name | SARAH E CONROY (OWNER) |
| Authorized Official Telephone | 6145653294 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
583 MOULL ST |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144333261 | John Henry Wallace | Dentist | 583 Moull St, Newark, OH 43055-2909 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735527 | S Nguyen Dds, Inc | Clinic/Center | 35149 Newark Blvd Ste A, Newark, CA 94560-1209 | 2020-06-19 |
| 1124585674 | Wilson Smiles Dental LLC | Clinic/Center | 41-51 Wilson Ave Ste 2-d, Newark, NJ 07105-3269 | 2019-02-20 |
| 1164747457 | Advanced Dental | Clinic/Center | 735 Mount Prospect Ave, Newark, NJ 07104-3111 | 2010-03-30 |
| 1942452602 | Umdnj - School of Health Related Professions | Clinic/Center | 65 Bergen St Ste 120, Newark, NJ 07107-3001 | 2008-10-14 |
| 1811177769 | Maria Isabel Galarza | Clinic/Center | 241 B Ferry St, Newark, NJ 07105-3218 | 2007-11-08 |
| 1609995463 | Friendly Dental Center Inc | Clinic/Center | 604-608 Market St, Suite #3a, Newark, NJ 07105-2911 | 2007-03-29 |
| 1407989254 | Clinton Hill Dental Assoc | Clinic/Center | 804 Cinton Ave, Newark, NJ 07108-1004 | 2007-03-13 |
| 1033201025 | Richard R. Karlen Dds Pa | Clinic/Center | 164 Ferry St, Jackson Street Entrance, Newark, NJ 07105-2158 | 2006-09-28 |
| 1376168922 | Christopher Sanchez Hong, Dds, Inc. | Clinic/Center | 3900 Newpark Mall Ste 101, Newark, CA 94560-5229 | 2020-06-10 |
| 1316595242 | Michael Y Chan Dds Inc | Clinic/Center | 5866 Mowry School Rd, Newark, CA 94560-5367 | 2019-09-04 |
| Find all providers in NEWARK | ||||
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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.