DAYTON DENTAL SPECIALTIES (NPI# 1699182501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699182501 |
| Entity Type | Organization |
| Organization Name | DAYTON DENTAL SPECIALTIES |
| Practice Address |
4235 Indian Ripple Rd Suite 200a Beavercreek OH 45440-3284 |
| Practice Telephone | 9378020901 |
| Practice Fax Number | 9378020950 |
| Mailing Telephone | 9378020901 |
| Mailing Fax Number | 9378020950 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |
| Authorized Official Name | DR. SANJEEV K GOEL (OWNER) |
| Authorized Official Telephone | 5139428181 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
22979 | OH | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
24125 | OH | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | DAYTON DENTAL SPECIALTIES INC | 5900 West Chester Road, Suite A, West Chester, OH 45069 |
| Street Address |
4235 INDIAN RIPPLE RD SUITE 200A |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45440-3284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202700 | Brian Ray Stahl | Ophthalmology | 4235 Indian Ripple Rd, Ste 100, Beavercreek, OH 45440-3247 | 2005-08-11 |
| 1316376643 | Mvhe Inc | Family Medicine | 4235 Indian Ripple Rd, Suite 210, Beavercreek, OH 45440-3284 | 2013-11-07 |
| 1578881009 | Eye Laser and Surgery Center LLC | Clinic/Center | 4235 Indian Ripple Rd, Ste 110, Beavercreek, OH 45440-3265 | 2010-05-07 |
| 1952354136 | Brian R Stahl Md Inc | Optometrist | 4235 Indian Ripple Rd, Ste 100, Beavercreek, OH 45440-3247 | 2006-05-18 |
| 1053306001 | James Roy Knowles | Ophthalmology | 4235 Indian Ripple Rd, Ste 100, Beavercreek, OH 45440-3247 | 2005-09-15 |
| 1376545905 | Kelley Melissa Basinger | Optometrist | 4235 Indian Ripple Rd, Ste 100, Beavercreek, OH 45440-3247 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1659902153 | Caryn Hoffman | Pharmacist | 5400 Cornerstone Blvd, Centerville, OH 45440 | 2020-02-03 |
| 1023673100 | Katren Elizabeth Clark | Psychologist | 70 Birch Alley, Suite 240, Dayton, OH 45440 | 2019-05-05 |
| 1649784737 | Amy Lynn Winstead | Dietitian, Registered | 5721 Bigger Road, Kettering, OH 45440 | 2017-11-28 |
| 1104245455 | Aprscp, Inc. | Hearing Instrument Specialist | 3341 East Stroop Road, Kettering, OH 45440 | 2014-04-15 |
| 1457601858 | Victoria L Saylor | Pharmacy Technician | 4480 Indianripple Rd, Dayton, OH 45440 | 2012-09-12 |
| 1528368644 | Sara Jankowski | Art Therapist | 5178 Scarsdale Dr., Kettering, OH 45440 | 2010-10-22 |
| 1356651012 | Senior Options Group | Home Health | 4025 Marshall Road, Kettering, OH 45440 | 2010-10-15 |
| 1417106345 | Sheenu Goel | Dentist | 4235 Indian Ripple Rd., Suite 200a, Dayton, OH 45440 | 2008-09-16 |
| Find all providers in zip 45440 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861781635 | Michelle Allar | Dentist | 3300 Kemp Rd, Beavercreek, OH 45431-4200 | 2011-04-01 |
| 1265650618 | Daniel S. German | Dentist | 3300 Kemp Rd, Beavercreek, OH 45431-4200 | 2007-04-23 |
| 1528286903 | Brenda M. O'brien | Dentist | 3300 Kemp Rd, Beavercreek, OH 45431-4200 | 2007-04-23 |
| 1467670828 | Stephen P. Burke | Dentist | 3300 Kemp Rd, Beavercreek, OH 45431-4200 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079424 | Alvaro Malaga | Dentist | 2228 N High St Apt 29, Columbus, OH 43201-4401 | 2020-09-24 |
| 1093345290 | Gruelle Ison Orthodontics LLC | Dentist | 9825 Colerain Ave Ste 300, Cincinnati, OH 45251-1554 | 2020-01-16 |
| 1679103865 | Gid Orthodontics LLC | Dentist | 6876 Cincinnati Dayton Rd Ste 104, Liberty Township, OH 45044-8898 | 2020-01-16 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1497317465 | Jordan Aaron Roth | Dentist | 29001 Cedar Rd Ste 670, Lyndhurst, OH 44124-6501 | 2019-07-01 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1386207884 | Shannon Candid Co. Ohio, P.a. | Dentist | 107 S High St Fl 2, Columbus, OH 43215-9436 | 2019-04-19 |
| 1164985784 | Seema S. Dhingra Dds Msd | Dentist | 2237 Grube St, Springfield, OH 45503-2642 | 2019-04-10 |
| 1972060408 | Blue Jackets Braces | Dentist | 1175 Columbus Pike, Delaware, OH 43015-2713 | 2019-02-20 |
| 1609348283 | Shirck Orthodontics | Dentist | 68 N High St Bldg D, New Albany, OH 43054-8091 | 2018-12-20 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45440 |
Please comment or provide details below to improve the information on DAYTON DENTAL SPECIALTIES.
| 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.