DENT-AL SMILES, LLC (NPI# 1720510001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720510001 |
| Entity Type | Organization |
| Organization Name | DENT-AL SMILES, LLC |
| Practice Address |
1115 Hicks Blvd # 3 Fairfield OH 45014-2889 |
| Practice Telephone | 4127794235 |
| Mailing Telephone | 4127794235 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |
| Authorized Official Name | ALVARO R LAZO (OWNER) |
| Authorized Official Telephone | 4127794235 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
30020814 | OH | Ambulatory Health Care Facilities |
| Street Address |
1115 HICKS BLVD # 3 |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-2889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152261 | Wade Taylor Davis IIi | Dentist | 1115 Hicks Blvd, Fairfield, OH 45014-2889 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184195885 | Megha Jadhav Dmd, Inc | Clinic/Center | Megha Jadhav Dmd Inc, 1261 Travis Blvd Ste 160, Fairfield, CA 94533-3642 | 2018-12-06 |
| 1730470006 | County of Solano | Clinic/Center | 275 Beck Ave # Ms 5210, Fairfield, CA 94533-6804 | 2011-04-21 |
| 1083845275 | County of Solano | Clinic/Center | 2201 Courage Drive, Fairfield, CA 94533-6717 | 2009-08-05 |
| 1568471654 | James C. Bawden IIi, D.d.s. Inc. | Clinic/Center | 1700 Pennsylvania Ave, Suite D., Fairfield, CA 94533-3588 | 2006-08-07 |
| 1720579485 | Cheng Zhu Dmd Dental Group Inc | Clinic/Center | 2201 Boynton Ave, Fairfield, CA 94533 | 2018-05-29 |
| 1912496472 | Navid Mehranpour Dds, Dental Corp. | Clinic/Center | 1545 N Texas St Ste 311, Fairfield, CA 94533-5623 | 2018-05-09 |
| 1710284518 | Kennebec Valley Dental Arts | Clinic/Center | 51 Western Ave, Suite 3b, Fairfield, ME 04937-1382 | 2011-02-15 |
| 1457592958 | Mark Choi Dds Inc | Clinic/Center | 2500 N Texas St, Suite C, Fairfield, CA 94533-1639 | 2009-03-12 |
| 1689879447 | Fairfield Family Dental Care | Clinic/Center | 271 Us Highway 46, Suite A101, Fairfield, NJ 07004-2440 | 2007-06-20 |
| 1508078817 | County of Solano | Clinic/Center | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2007-05-07 |
| Find all providers in FAIRFIELD | ||||
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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.