MODERN DENTAL PROFESSIONALS-LEE,INC (NPI# 1386828812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386828812 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS-LEE,INC |
| Other Organization Name | MONARCH DENTAL |
| Practice Address |
1475 Upper Valley Pike Springfield OH 45504-4047 |
| Practice Telephone | 9373227549 |
| Mailing Telephone | 9373227549 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |
| Authorized Official Name | RHONDA KELLER (DISTRICT MANAGER) |
| Authorized Official Telephone | 9372787956 |
| Is Organization Subpart | Y |
| Parent Organization Name | MODERN DENTAL PROFESSIONALS-LEE,INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30.019758 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2181419 | 05 |
| Other Name | Type Code |
|---|---|
| MONARCH DENTAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164606687 | Modern Dental Professionals-lee,inc | Dentist | 5561 Salem Ave, Dayton, OH 45426-1451 | 2007-12-19 |
| 1699959122 | Modern Dental Professionals-lee,inc | Dentist | 1042 S Smithville Rd, Dayton, OH 45403-3421 | 2007-12-19 |
| 1750565297 | Modern Dental Professionals-lee,inc | Dentist | 36 Fiesta Ln, Miamisburg, OH 45342-5301 | 2007-12-19 |
| 1992989412 | Modern Dental Professionals-lee,inc | Dentist | 1 S High St, Arcanum, OH 45304-1118 | 2007-12-19 |
| 1669656104 | Modern Dental Professionals-lee,inc | Dentist | 987 E Ash St, Ste 154, Piqua, OH 45356-4133 | 2007-12-19 |
| 1033393558 | Modern Dental Professionals-lee,inc | Dentist | 6040 Wilmington Pike, Centerville, OH 45459-7006 | 2007-12-19 |
| 1851575567 | Modern Dental Professionals-lee,inc | Dentist | 6188 Chambersburg Rd, Huber Heights, OH 45424-3857 | 2007-12-18 |
| Street Address |
1475 UPPER VALLEY PIKE |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45504-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891857108 | Kathryn Hill | Dentist | 1475 Upper Valley Pike, Springfield, OH 45504-4047 | 2006-12-14 |
| 1134531387 | Monica Marie Monfredi | Dentist | 1475 Upper Valley Pike, Springfield, OH 45504-4047 | 2014-05-22 |
| 1639424633 | Kelly Jo Makley | Optometrist | 1475 Upper Valley Pike, Springfield, OH 45504-4047 | 2012-07-17 |
| 1851628416 | Breslow Eye Care LLC | Optometrist | 1475 Upper Valley Pike, Springfield, OH 45504-4047 | 2009-11-03 |
| 1841428489 | Matthew Elliot Breslow | Optometrist | 1475 Upper Valley Pike, Suite 448, Springfield, OH 45504-4047 | 2009-06-22 |
| 1215080882 | Scott Pandel Caleodis | Optometrist | 1475 Upper Valley Pike, Suite 448, Springfield, OH 45504-4047 | 2007-01-18 |
| 1700971983 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1475 Upper Valley Pike, Upper Valley Mall Ste #448, Springfield, OH 45504-4047 | 2006-10-04 |
| 1336245018 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1475 Upper Valley Pike, Upper Valley Mall, Springfield, OH 45504-4047 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251227 | Brent Eresman | Massage Therapist | 25 W. Harding Rd, Springfield, OH 45504 | 2019-12-06 |
| 1346728300 | Bruns and Cross, LLC | Hearing Aid Equipment | 1905 West North Street, Springfield, OH 45504 | 2018-08-01 |
| 1376054197 | Trilogy Healthcare Operations of Springfield II, LLC | Skilled Nursing Facility | 2900 Bechtle Avenue, Springfield, OH 45504 | 2017-10-19 |
| 1639573967 | Lindsay Ann Brumfield | Speech-Language Pathologist | 643 Mayhill Road, Springfield, OH 45504 | 2014-10-15 |
| 1447662788 | Garrett Hayman | Chiropractor | 1052 Upper Valley Pike, Springfield, OH 45504 | 2014-05-21 |
| 1538582291 | Jerry Newport | Counselor | 474 N. Yellow Springs St, Mental Health Services for Clark and Madison Counties, Springfield, OH 45504 | 2014-01-30 |
| 1700217999 | Olivia Masters | Speech-Language Pathologist | 1600 St. Paris Rd., Springfield, OH 45504 | 2013-12-12 |
| 1972840312 | Luke N. Onuorah | Internal Medicine | 30 W Mccreight Ave Ste 106, Springfield, OH 45504 | 2013-01-04 |
| 1912208414 | Flexeon Rehabilitation Springfield Ohio, LLC | Clinic/Center | 1303 West 1st Street, Springfield, OH 45504 | 2010-11-15 |
| 1205137577 | Erin Elizabeth George | Social Worker | 30 W Mccreight Ave Ste 204, Springfield, OH 45504 | 2010-11-03 |
| Find all providers in zip 45504 | ||||
| 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 |
|---|---|---|---|---|
| 1356969034 | Dental Professionals of Virginia, P.C. | Dentist | 7015 Old Keene Mill Rd Ste 101, Springfield, VA 22150-2805 | 2020-07-09 |
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1730734369 | Taylor Eiford | Dentist | 200 N Fountain Ave, Springfield, OH 45504-2535 | 2019-08-09 |
| 1376198366 | Cynthia Park | Dentist | 8328 Traford Ln Ste B, Springfield, VA 22152-1667 | 2019-08-06 |
| 1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
| 1376100651 | Haiping Sun | Dentist | 1705 E Primrose St, Springfield, MO 65804-4292 | 2019-05-22 |
| 1740845619 | Patrick Greitzer | Dentist | 251 Hampton Pl, Springfield, OH 45503-2613 | 2019-05-07 |
| 1033674106 | Tags Inc | Dentist | 1557 E Primrose St Ste 116, Springfield, MO 65804-7916 | 2019-02-04 |
| 1366916272 | Baines Dental, LLC | Dentist | 1112 Rickard Rd Ste A, Springfield, IL 62704-1021 | 2019-01-14 |
| 1225502362 | Liebentritt Family Dentistry | Dentist | 191 Main St., Springfield, NE 68059 | 2019-01-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45504 |
Please comment or provide details below to improve the information on MODERN DENTAL PROFESSIONALS-LEE,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.