J CLARKE SANDERS DDS-CENTERVILLE LLC (NPI# 1659504884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659504884 |
| Entity Type | Organization |
| Organization Name | J CLARKE SANDERS DDS-CENTERVILLE LLC |
| Other Organization Name | CENTERVILLE FAMILY DENTAL |
| Practice Address |
9420 Lebanon Pike Centerville OH 45458-3860 |
| Practice Telephone | 9374338900 |
| Practice Fax Number | 9374338905 |
| Mailing Telephone | 9374338900 |
| Mailing Fax Number | 9374338905 |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-04 |
| Authorized Official Name | DR. JOHN CLARKE SANDERS (OWNER) |
| Authorized Official Telephone | 6148643196 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 17563 | OH | Dental Providers |
| Other Name | Type Code |
|---|---|
| CENTERVILLE FAMILY DENTAL | Doing Business As Name - Organization |
| Street Address |
9420 LEBANON PIKE |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45458-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902800410 | Robert M Stofer | Dentist | 9420 Lebanon Pike, Centerville, OH 45458-3845 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
| 1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
| 1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| Find all providers in zip 45458 | ||||
| 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 |
|---|---|---|---|---|
| 1427515667 | Centerville Dental Center Ohio LLC | Dentist | 9346 Dayton Lebanon Pike, Centerville, OH 45458-3839 | 2019-02-25 |
| 1497277628 | Saharnaz Tehranchi | Dentist | 331 W Parrish Ln Ste 101, Centerville, UT 84014-1853 | 2017-07-10 |
| 1538510748 | Chris Godfrey | Dentist | 2087 N 725 W, Centerville, UT 84014-3465 | 2016-06-29 |
| 1619323243 | Nathan Justice | Dentist | 9420 Dayton Lebanon Pike, Centerville, OH 45458-3860 | 2016-05-12 |
| 1356757769 | Adam Hinkley | Dentist | 6885 Castlerock Trl Apt D, Centerville, OH 45459-6028 | 2014-07-07 |
| 1063780047 | John C Gallagher | Dentist | 1820 Lyons Rd, Centerville, OH 45458-1839 | 2011-12-06 |
| 1366748410 | Kori & Everhartadvanced Dentistry, Scott M. Everhart Dds, LLC | Dentist | 401 Miamisburg Centerville Rd, Centerville, OH 45459-4753 | 2011-02-08 |
| 1104147735 | Modern Dental Professionals, Minnesota PC | Dentist | 1853 Main St, Centerville, MN 55038-9794 | 2010-06-17 |
| 1568681625 | David Harold Ellinger | Dentist | 107 East Franklin St, Centerville, OH 45459-4414 | 2007-04-25 |
| 1487879326 | John E Van Cleve IIi | Dentist | 108 E Swan St, Centerville, TN 37033-1444 | 2007-04-16 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 45458 |
Please comment or provide details below to improve the information on J CLARKE SANDERS DDS-CENTERVILLE LLC.
| 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.