MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC (NPI# 1760929103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760929103 |
| Entity Type | Organization |
| Organization Name | MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC |
| Practice Address |
6028 South State Road 48 Maineville OH 45039 |
| Practice Telephone | 5133344099 |
| Practice Fax Number | 5134537179 |
| Mailing Telephone | 5133344099 |
| Mailing Fax Number | 5134537179 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | STEPHEN JAMES (CFO) |
| Authorized Official Telephone | 5022548500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
6028 SOUTH STATE ROAD 48 |
| City | MAINEVILLE |
| State | OH |
| Zip Code | 45039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341784 | Jill Johnson | Pharmacist | 2966 Pine Grove Ln., Address Line 2, Maineville, OH 45039 | 2020-06-19 |
| 1508495094 | Improved Life Home Care LLC | Home Health | 2575 W. Us. Rt 22 - 3, Maineville, OH 45039 | 2020-04-06 |
| 1306470133 | Alyssa M Mattson | Pharmacist | 2900 W Sr 22&3, Maineville, OH 45039 | 2020-03-02 |
| 1801384060 | Dream Family Dental - Shin Young Yang, Dmd, LLC | Dentist | 45 E Us Route 22, Maineville, OH 45039 | 2018-04-24 |
| 1760979058 | Dream Family Dental - Shin Young Yang, Dmd, LLC | Clinic/Center | 45 E Us Route 22 & 3, Maineville, OH 45039 | 2018-04-23 |
| 1689172165 | Tammy Lynn Morneau | Behavioral Analyst | 7264 Columbia Rd Ste 1000, Mason, OH 45039 | 2018-01-30 |
| 1205351269 | Kimberly Hensley | Speech-Language Pathologist | 7247 Zoar Rd., Maineville, OH 45039 | 2017-08-10 |
| 1265953715 | Leslie Erin Ealy | Registered Nurse | 233 Bannock Dr, Maineville, OH 45039 | 2017-07-05 |
| 1013379494 | Suzzanne Helphinstine | Physical Therapist | 7952 Acorn Trail, Maineville, OH 45039 | 2016-03-24 |
| 1215163076 | Prime Home Care,llc | Home Health | 2775 West Us Hwy 22 & 3, Suite 1, Maineville, OH 45039 | 2009-06-08 |
| Find all providers in zip 45039 | ||||
| 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 |
|---|---|---|---|---|
| 1154875292 | Mortenson Family Dental Center - Landen LLC | Dentist | 3116 W Us 22 and 3, Maineville, OH 45039-8103 | 2016-08-06 |
| 1043305006 | Kevin P. Kallmeyer | Dentist | 5765 S State Route 48, Suite 101, Maineville, OH 45039-8033 | 2006-10-04 |
| 1841381779 | William Edward Renz | Dentist | 2896-4 W. U.S. 22-3, Maineville, OH 45039-8028 | 2006-09-27 |
| 1790893717 | Riversbend Dental Inc. | Dentist | 6028 S State Route 48, Maineville, OH 45039-8280 | 2006-08-29 |
| 1477505576 | Susan I Deeley | Dentist | 45 E Us 22-3, Maineville, OH 45039-9626 | 2006-05-17 |
| 1811437361 | Crutchfield Dental Group LLC | Dentist | 8520 Landen Dr, Maineville, OH 45039-9565 | 2017-03-02 |
| 1639295330 | Brandon W. Romick | Dentist | 6028 S State Route 48, Maineville, OH 45039-8280 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281352 | United Dental Care Changwon Ahn Dmd | Dentist | 34950 Chardon Rd Ste 200, Willoughby Hills, OH 44094-9162 | 2020-10-06 |
| 1619584786 | Mark Paly | Dentist | 13193 Hampton Club Dr Apt 104, North Royalton, OH 44133-7413 | 2020-09-23 |
| 1881208874 | West Broad Dental Partners LLP | Dentist | 4089 W Broad St, Columbus, OH 43228-1614 | 2020-09-07 |
| 1740894450 | Sigmund G Gagni Dds LLC | Dentist | 1271 Crescent Heights Rd Ste 206, Marion, OH 43302-6455 | 2020-09-01 |
| 1184237984 | Jasmina Maric | Dentist | 6519 Greenoak Dr, Cincinnati, OH 45248-1413 | 2020-08-31 |
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1275144842 | Britni A Gray | Dentist | 6268 Mayfield Rd, Mayfield Heights, OH 44124-3219 | 2020-08-16 |
| 1679183701 | Ryba Dentistry LLC | Dentist | 3219 Detroit Ave Ste 102, Cleveland, OH 44113-2759 | 2020-08-04 |
| 1215546023 | Jennifer Yu | Dentist | 3421 Towne Blvd, Middletown, OH 45005-5507 | 2020-07-28 |
| 1326656034 | Ohio Dental Professionals, Delisle, P.C. | Dentist | 3425 Grant Ave Ste A, Grove City, OH 43123-2512 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
| City | MAINEVILLE |
| Zip Code | 45039 |
Please comment or provide details below to improve the information on MORTENSON FAMILY DENTAL CENTER - MAINEVILLE LLC.
| 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.