DR. BRADLEY K JEREN (NPI# 1538177431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538177431 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY K JEREN |
| Credential | DDS |
| Practice Address |
17991 Mahoning Ave Lake Milton OH 44429 |
| Practice Telephone | 3306543253 |
| Practice Fax Number | 3306543252 |
| Mailing Telephone | 3306543253 |
| Mailing Fax Number | 3306543252 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | OH17658 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0591622 | 05 |
| Street Address |
17991 MAHONING AVE |
| City | LAKE MILTON |
| State | OH |
| Zip Code | 44429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114411550 | The Craig Beach Volunteer Fire Department | Ambulance | 1797 Grandview Rd, Lake Milton, OH 44429 | 2018-06-19 |
| 1457513277 | Milton Township Volunteer Fire Department | Ambulance | 15980 Milton Ave, Lake Milton, OH 44429 | 2008-07-02 |
| 1992149157 | Township of Milton Trustees | Ambulance | 15980 Milton Avenue, Lake Milton, OH 44429-0397 | 2013-04-18 |
| 1912990706 | Neal David Tishman | Emergency Medicine | 2235 Mahoning Rd, Lake Milton, OH 44429-9562 | 2005-08-26 |
| 1538516000 | Juanita Mcdonnell | Nurse Practitioner | 17674 Mahoning Ave Ste B, Lake Milton, OH 44429-9582 | 2016-05-15 |
| 1730166117 | Martin Escobar | Specialist | 17674 Mahoning Ave, Lake Milton, OH 44429-9582 | 2005-12-28 |
| 1821605833 | George Allen Tuttle | Pharmacist | 17674 Mahoning Ave, Lake Milton, OH 44429-9582 | 2020-09-24 |
| 1477742716 | Conitaca Medical Associates,llc | Internal Medicine | 17674 Mahoning Ave, Lake Milton, OH 44429-9582 | 2007-10-23 |
| 1942398284 | Wexco Ltd | Pharmacist | 17674 Mahoning Ave, Lake Milton, OH 44429-9582 | 2006-10-11 |
| 1821007758 | Ankle and Foot Care Centers | Podiatrist | 17674 Mahoning Ave, Lake Milton, OH 44429-9582 | 2006-08-07 |
| Find all providers in zip 44429 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | LAKE MILTON |
| Zip Code | 44429 |
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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.