ROBERT PAUL HENDRICKSEN (NPI# 1689783334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689783334 |
| Entity Type | Individual |
| Full Name | ROBERT PAUL HENDRICKSEN |
| Credential | DDS MS |
| Practice Address |
7265 Far Hills Ave Centerville OH 45459-4206 |
| Practice Telephone | 9374354924 |
| Practice Fax Number | 9374356447 |
| Mailing Telephone | 9374354924 |
| Mailing Fax Number | 9374356447 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2011-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
30015680 | OH | Dental Providers |
| Street Address |
7265 FAR HILLS AVE |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124672092 | Professional Dental Alliance of Centerville, LLC | Dentist | 9420 Dayton Lebanon Pike, Centerville, OH 45458-3860 | 2019-07-30 |
| 1538330089 | Kernan Oral Maxillofacial & Implant Surgery | Dentist | 9995 Dayton Lebanon Pike, Centerville, OH 45458 | 2008-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740846559 | Daniel Schwartz, Dmd, Md, LLC | Dentist | 23250 Chagrin Blvd Ste 205, Beachwood, OH 44122-5416 | 2019-05-16 |
| 1649834144 | William W. Francis Dds, LLC | Dentist | 27500 Detroit Rd Ste 104, Suite 104, Westlake, OH 44145-5913 | 2019-04-30 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1285041186 | Ahmad Ali Millwala Dmd Oral and Maxillofacial Surgery Co | Dentist | 2846 Double Eagle Dr, Beavercreek, OH 45431-4709 | 2014-07-14 |
| 1427489566 | Thomas Gerosky, D.m.d. Inc | Dentist | 215 Miller Road, Avon Lake, OH 44012 | 2013-11-27 |
| 1346685195 | Matthew Thomas Marshall | Dentist | 3075 Smith Rd Ste 102, Fairlawn, OH 44333-4453 | 2013-05-07 |
| 1629329198 | Amherst Oral Surgery and Implant Center LLC | Dentist | 550 N Leavitt Rd, Amherst, OH 44001-1131 | 2012-09-25 |
| 1568710655 | Manraj S. Bath, Dds, Inc. | Dentist | 1575 Cross Creeks Blvd., Pickerington, OH 43147 | 2012-08-21 |
| 1467707018 | Matthew Aaron Popper | Dentist | 5825 Landerbrook Dr Ste 125, Cleveland, OH 44124 | 2012-07-19 |
| 1548534415 | Bushey Oral and Maxillofacial Surgery, Inc. | Dentist | 7081 West Blvd., Suite 1, Youngstown, OH 44512 | 2012-02-24 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 45459 |
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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.