COMPLETE DENTAL CARE OF SHADYSIDE (NPI# 1609323831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609323831 |
| Entity Type | Organization |
| Organization Name | COMPLETE DENTAL CARE OF SHADYSIDE |
| Practice Address |
3775 Central Ave Shadyside OH 43947-1344 |
| Mailing Address |
2700 Sunset Blvd Steubenville OH 43952-1158 |
| Practice Telephone | 7406762604 |
| Practice Fax Number | 7406762604 |
| Mailing Telephone | 7402646811 |
| Mailing Fax Number | 7402646812 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |
| Authorized Official Name | ARMANDA LESTER (OFFICE MANAGER) |
| Authorized Official Telephone | 7404850309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 30.016390 | OH | Dental Providers |
| N | 122300000X | Dentist | 30.024551 | OH | Dental Providers |
| N | 122300000X | Dentist | 30.24884 | OH | Dental Providers |
| Y | 122300000X | Dentist | 30.023979 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518402643 | Complete Dental Care of Shadyside | Dentist | 6259 Library Rd, Bethel Park, PA 15102-4015 | 2016-12-28 |
| Street Address |
3775 CENTRAL AVE |
| City | SHADYSIDE |
| State | OH |
| Zip Code | 43947-1344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932295797 | Patrick W Long | Dentist | 3775 Central Ave, Shadyside, OH 43947 | 2006-10-05 |
| 1124589585 | Professional Dental Alliance of Shadyside, LLC | Dentist | 3775 Central Ave, Shadyside, OH 43947-1344 | 2019-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520465 | Rebecca Louise Baker | Technician | 4075 Highland Avenue, Shadyside, OH 43947 | 2019-10-25 |
| 1205270485 | Sheryl Lynn Miller | Nurse Practitioner | 4000 Central Avenue, Shadyside Health Center, Shadyside, OH 43947 | 2013-04-18 |
| 1891997029 | Helen Carol Higgins | Home Health Aide | 52180 Wegee Rd, Shadyside, OH 43947 | 2007-06-01 |
| 1386851442 | Innovative Work Solutions, LLC | Physical Therapist | 24 West 39th Street, Room 201, Shadyside, OH 43947 | 2007-05-17 |
| 1194796946 | Anna Jose Warnock | Dentist | 3775 Central Ave., Shadyside, OH 43947 | 2006-01-30 |
| 1023090883 | Zandex Health Care Corporation | Skilled Nursing Facility | 60583 State Route 7, Shadyside, OH 43947 | 2005-11-17 |
| 1831639236 | Behavioral Health Counseling, LLC | Counselor | 355 W 43rd St, Shadyside, OH 43947-1022 | 2017-03-03 |
| 1699219386 | Jessica Lynn Powell | Registered Nurse | 552 W 45th St, Shadyside, OH 43947-1039 | 2016-12-14 |
| 1649571613 | Kathleen Ann Krupa | Nurse Practitioner | 4355 Monroe St, Shadyside, OH 43947-1070 | 2010-11-08 |
| 1184831208 | Working Options Inc | Case Manager/Care Coordinator | 24 W 39th St, Shadyside, OH 43947-1106 | 2007-05-17 |
| Find all providers in zip 43947 | ||||
| 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 |
|---|---|---|---|---|
| 1932295797 | Patrick W Long | Dentist | 3775 Central Ave, Shadyside, OH 43947 | 2006-10-05 |
| 1194796946 | Anna Jose Warnock | Dentist | 3775 Central Ave., Shadyside, OH 43947 | 2006-01-30 |
| 1124589585 | Professional Dental Alliance of Shadyside, LLC | Dentist | 3775 Central Ave, Shadyside, OH 43947-1344 | 2019-03-28 |
| 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.