ANGELA D. DEMOSS, DMD INC. (NPI# 1740590645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740590645 |
| Entity Type | Organization |
| Organization Name | ANGELA D. DEMOSS, DMD INC. |
| Practice Address |
120 W Wenger Rd Englewood OH 45322-2762 |
| Practice Telephone | 9378361207 |
| Mailing Telephone | 9378361207 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | ANGELA D DEMOSS (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9378361207 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
30019818 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | INDIVIDUAL NPI | 1265571715 | 01 |
| Street Address |
120 W WENGER RD |
| City | ENGLEWOOD |
| State | OH |
| Zip Code | 45322-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184837510 | Ira N. Kushnir Dds Inc. | Dentist | 120 W Wenger Rd, Englewood, OH 45322-2725 | 2007-05-08 |
| 1396868121 | Ira Kushnir | Dentist | 120 W Wenger Rd, Englewood, OH 45322-2725 | 2007-04-08 |
| 1265571715 | Angela Dawn Demoss | Dentist | 120 W Wenger Rd, Englewood, OH 45322-2725 | 2007-02-05 |
| 1790749307 | Premier Integrated Medical Associates, Ltd | Pediatrics | 120 W Wenger Rd, Englewood, OH 45322-2762 | 2006-04-12 |
| 1336119254 | Irene L Marsidi | Pediatrics | 120 W Wenger Rd, Englewood, OH 45322 | 2006-01-24 |
| 1619957545 | Rengachari Paul Deenadayalu | Pediatrics | 120 W Wenger Rd, Englewood, OH 45322 | 2006-01-18 |
| 1467431569 | Donald August Pelsor | Pediatrics | 120 W Wenger Rd, Englewood, OH 45322 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608197 | Ashley Lynn Thompson | Nurse Practitioner | 885 N Union Rd., Englewood, OH 45322 | 2020-01-13 |
| 1184181372 | Arianna Genovesi | Health Educator | 885 North Union Road, Englewood, OH 45322 | 2019-02-25 |
| 1740768803 | Michelle Mitchell | Nurse Practitioner | 6700 Commerce Center Drive, Vandalia, OH 45322 | 2018-08-01 |
| 1306260500 | Bonni Buchanan | Contractor | 3540 Artistic Court, Englewood, OH 45322 | 2014-02-07 |
| 1821246745 | Nancy G Osborn | Physical Therapy Assistant | 425 Lauricella Ct., Englewood, OH 45322 | 2008-09-04 |
| 1598936452 | Samaritan Family Care Inc | Clinical Nurse Specialist | 885 Union Road, Englewood, OH 45322 | 2008-03-19 |
| 1245422211 | Sunrise Carmel Assisted Living LLC | Assisted Living Facility | 95 W. Wenger Rd., Englewood, OH 45322 | 2007-08-14 |
| 1578682373 | Dermatology Laser Surgery Center Inc. | Dermatology | 5 Wenger Road, Englewood, OH 45322 | 2007-03-29 |
| 1508953548 | David M Kreusch Dc Corp | Chiropractor | 5 Jefferson Street, Englewood, OH 45322 | 2006-10-10 |
| 1043328529 | Louis J Vitangeli | Dentist | 320 Union Blvd, Englewood, OH 45322 | 2006-08-26 |
| Find all providers in zip 45322 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942673512 | A. P. Smithwick D.d.s. IIi Professional LLC | Dentist | 125 Inverness Dr E Ste 300, Englewood, CO 80112-5139 | 2015-11-04 |
| 1336574615 | Day Dream Dental Care | Dentist | 7820 Inverness Blvd E Unit 203, Englewood, CO 80112-5713 | 2013-09-05 |
| 1699078162 | Robin S Yamaguma | Dentist | 5168 S Broadway, Englewood, CO 80113-6706 | 2010-12-06 |
| 1679731764 | Pediatric Dental Associates of Colorado | Dentist | 3795 S Colorado Blvd, Englewood, CO 80113-4202 | 2008-05-27 |
| 1619938321 | Philip Charles Walter | Dentist | 11241 East Cimmarron Drive, Englewood, CO 80111-4009 | 2006-03-31 |
| 1720073158 | Kemie D Houston | Dentist | 125 Inverness Dr E, Suite 300, Englewood, CO 80112-5137 | 2005-09-12 |
| 1750759528 | Christopher W. Leyster, Dds, PC | Dentist | 125 Inverness Dr E, Suite 300, Englewood, CO 80112-5137 | 2015-09-09 |
| 1689012122 | Kids Tooth Doc | Dentist | 5168 S Broadway, Englewood, CO 80113-6706 | 2013-06-06 |
| 1508054164 | Jennifer Marie Akkaway | Dentist | 370 Grand Avenue, Suite 200, Englewood, NJ 07631 | 2007-10-09 |
| 1780899252 | Kemie D. Houston Dds, Ms, PC | Dentist | 125 Inverness Drive East, Suite 300, Englewood, CO 80112 | 2007-05-10 |
| Find all providers in ENGLEWOOD | ||||
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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.