MODERN DENTAL PROFESSIONALS-LEE,INC (NPI# 1699959122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699959122 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS-LEE,INC |
| Other Organization Name | MONARCH DENTAL |
| Practice Address |
1042 S Smithville Rd Dayton OH 45403-3421 |
| Practice Telephone | 9372580075 |
| Mailing Telephone | 9372580075 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |
| Authorized Official Name | RHONDA KELLER (DISTRICT MANAGER) |
| Authorized Official Telephone | 9372787956 |
| Is Organization Subpart | Y |
| Parent Organization Name | MODERN DENTAL PROFESSIONALS-LEE,INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30.019758 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2181437 | 05 |
| Other Name | Type Code |
|---|---|
| MONARCH DENTAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164606687 | Modern Dental Professionals-lee,inc | Dentist | 5561 Salem Ave, Dayton, OH 45426-1451 | 2007-12-19 |
| 1750565297 | Modern Dental Professionals-lee,inc | Dentist | 36 Fiesta Ln, Miamisburg, OH 45342-5301 | 2007-12-19 |
| 1992989412 | Modern Dental Professionals-lee,inc | Dentist | 1 S High St, Arcanum, OH 45304-1118 | 2007-12-19 |
| 1669656104 | Modern Dental Professionals-lee,inc | Dentist | 987 E Ash St, Ste 154, Piqua, OH 45356-4133 | 2007-12-19 |
| 1033393558 | Modern Dental Professionals-lee,inc | Dentist | 6040 Wilmington Pike, Centerville, OH 45459-7006 | 2007-12-19 |
| 1386828812 | Modern Dental Professionals-lee,inc | Dentist | 1475 Upper Valley Pike, Springfield, OH 45504-4047 | 2007-12-19 |
| 1851575567 | Modern Dental Professionals-lee,inc | Dentist | 6188 Chambersburg Rd, Huber Heights, OH 45424-3857 | 2007-12-18 |
| Street Address |
1042 S SMITHVILLE RD |
| City | DAYTON |
| State | OH |
| Zip Code | 45403-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326454976 | Brad Wolcott | Community Health Worker | 340 Great Oaks Drive, Dayton, OH 45403 | 2014-07-03 |
| 1275878456 | Joseph Jenkins Sr. | Counselor | 1725 E 3rd St, Dayton, OH 45403 | 2012-11-29 |
| 1043445992 | Deborah Elaine Joiner | Home Health Aide | 127 North Irwin St., Dayton, OH 45403 | 2009-05-21 |
| 1962637819 | Barbara Jean Hines | Home Health Aide | 2106 East Fourth Street, Dayton, OH 45403 | 2009-05-21 |
| 1093904229 | Elaine A Ashcraft | Home Health Aide | 2931 E Second St, Dayton, OH 45403 | 2007-10-24 |
| 1568674604 | Amber Jamison | Home Health Aide | 2116 East 3rd Street, Dayton, OH 45403 | 2007-05-03 |
| 1518060128 | Kent K Scholl | Hospitalist | 1829 E 3rd St, Dayton, OH 45403 | 2006-09-07 |
| 1215428016 | Clinical Security and Logistics, Inc. | Clinic/Center | 1725 E 3rd St, Dayton, OH 45403 | 2018-05-29 |
| 1174021075 | Zana Sue Wheeler | Counselor | 1725 E 3rd St, Dayton, OH 45403 | 2018-01-25 |
| 1003332156 | Amanda Renee Baker | Counselor | 1725 E 3rd St, Dayton, OH 45403 | 2017-08-21 |
| Find all providers in zip 45403 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687692 | Julianne Fanny Avrutik | Dentist | 395 Ridge Rd Ste 5, Dayton, NJ 08810-1398 | 2019-09-09 |
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1649765876 | Ryan Conner Tutor | Dentist | 225 Main St Ste 400, Dayton, TN 37321-1329 | 2018-06-29 |
| 1043765985 | Supriya Sharma | Dentist | 2411 Miamisburg Centerville Rd, Dayton, OH 45459-3723 | 2016-08-21 |
| 1871930396 | Keta Bhakta | Dentist | 13551 Balsam Ln N, Dayton, MN 55327-9464 | 2013-05-23 |
| 1932440724 | Shelhouse Dental Group LLC | Dentist | 1601 Needmore Rd, Dayton, OH 45414-3855 | 2013-03-05 |
| 1316288103 | Shelhouse Comprehensive Dental LLC | Dentist | 5335 Far Hills Ave Ste 210, Dayton, OH 45429-2317 | 2013-03-05 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1124307202 | Brooke D Goodwin | Dentist | 101 Heartland Ct, Dayton, VA 22821-9000 | 2011-08-08 |
| 1760795785 | Kokila Punia | Dentist | 1309 Blossom Cir, Dayton, NJ 08810-2414 | 2010-07-19 |
| Find all providers in DAYTON | ||||
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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.