KIDDO SMILES DENTAL (NPI# 1568904878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568904878 |
| Entity Type | Organization |
| Organization Name | KIDDO SMILES DENTAL |
| Practice Address |
1132 Independence Ave Marion OH 43302-6318 |
| Practice Telephone | 7403833223 |
| Practice Fax Number | 7403750278 |
| Mailing Telephone | 7403833223 |
| Mailing Fax Number | 7403750278 |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |
| Authorized Official Name | CHUN WONG (OWNER) |
| Authorized Official Telephone | 6142181820 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
30022603 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2750867 | 05 |
| Street Address |
1132 INDEPENDENCE AVE |
| City | MARION |
| State | OH |
| Zip Code | 43302-6318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628423 | All Hands Dentistry Pllc | Clinic/Center | 140 Wareham Rd, Marion, MA 02738-1167 | 2020-01-10 |
| 1235784992 | E. Joseph Lenz Dds PC Family Dentistry | Clinic/Center | 890 7th Ave, Marion, IA 52302-5747 | 2019-08-08 |
| 1154863637 | West Memphis Pediatric Dentistry | Clinic/Center | 303 Bancario Ste 11-12, Marion, AR 72364-2825 | 2016-11-15 |
| 1326490160 | Reusser and Reusser, LLC | Clinic/Center | 1015 Melvin St, Marion, KS 66861-1235 | 2016-07-05 |
| 1457716870 | Wayne Cook Dentisrty LLC | Clinic/Center | 303 Bancario Ste 7, Marion, AR 72364-2826 | 2015-12-30 |
| 1861874430 | Health Care Partners of South Carolina, Inc. | Clinic/Center | 145 Palmetto Pointe Dr, Marion, SC 29571-6721 | 2015-06-19 |
| 1588979231 | Coastal Orthodontics, PC | Clinic/Center | 1 Rebecca Dr, Marion, MA 02738-1296 | 2010-08-18 |
| 1619521903 | Meng Tong Dds LLC | Clinic/Center | 1240 Crescent Heights Rd, Marion, OH 43302-6408 | 2019-07-25 |
| 1689238248 | Royal Oak Family Dentistry, Pllc | Clinic/Center | 937 N Main St, Marion, VA 24354-4117 | 2019-04-29 |
| 1861991267 | Marion Dental Associates Sandu LLC | Clinic/Center | 1241 E Center St, Marion, OH 43302-4446 | 2018-02-12 |
| Find all providers in MARION | ||||
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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.