MERKLEY MIDWEST - OHIO, P.A. (NPI# 1770096430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770096430 |
| Entity Type | Organization |
| Organization Name | MERKLEY MIDWEST - OHIO, P.A. |
| Other Organization Name | OAK LANE DENTAL |
| Practice Address |
19 W Market St Ste A Tiffin OH 44883-2772 |
| Practice Telephone | 4194479541 |
| Practice Fax Number | 4194471223 |
| Mailing Telephone | 4194479541 |
| Mailing Fax Number | 4194471223 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | MR. ANDREW WALKER (INTERNAL LEGAL AGENT / CREDENTIALER) |
| Authorized Official Telephone | 8015506421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9045508-9922 | UT | Dental Providers |
| Other Name | Type Code |
|---|---|
| Oak Lane Dental | Doing Business As Name - Organization |
| Street Address |
19 W MARKET ST STE A |
| City | TIFFIN |
| State | OH |
| Zip Code | 44883-2772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750437 | Merkley Professionals, Inc | Dentist | 19 W Market St Ste A, Tiffin, OH 44883-2772 | 2019-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255758 | Aaron Michael Konkle | Pharmacist | 2801 State Route 18, Tiffin, OH 44883 | 2020-11-04 |
| 1487286159 | Sandra Natole | Counselor | 200 St Francis Ave, Tiffin, OH 44883 | 2020-02-10 |
| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
| 1801440250 | Kenneth Oswald | Counselor | 3055 S Sr 100, Tiffin, OH 44883 | 2019-07-24 |
| 1932764107 | Cuadra Pediatric Dentistry, LLC | Dentist | Cuadra Pediatric Dentistry, LLC, 486 Wentz Street, Tiffin, OH 44883 | 2019-05-03 |
| 1578033114 | Morgan Leann Fultz | Student in an Organized Health Care Education/Training Program | 310 East Market St, Tiffin, OH 44883 | 2018-11-27 |
| 1568989630 | Alicia Taylor Frank | Speech-Language Pathologist | 797 E. Clinton Tr 201, Tiffin, OH 44883 | 2017-08-29 |
| 1861938920 | Devin Erika Fry | Physical Therapy Assistant | 2550 Oh-100, Tiffin, OH 44883 | 2017-01-13 |
| 1407392608 | Erica Hoffman | Occupational Therapy Assistant | 2550 Oh 100, Tiffin, OH 44883 | 2017-01-11 |
| 1164973509 | Spencers Home Modifications | Contractor | 8 High Pointe Court, Tiffin, OH 44883 | 2016-10-20 |
| Find all providers in zip 44883 | ||||
| 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 |
|---|---|---|---|---|
| 1982803870 | Richard L Fletcher Dds Inc | Dentist | 300 W Market St, Tiffin, OH 44883-2733 | 2007-07-12 |
| 1851505291 | Robert Warren Baxter | Dentist | 233 S Monroe St, Tiffin, OH 44883-2905 | 2007-05-09 |
| 1043423999 | Jeffrey Alan Hoyda | Dentist | 8 Oakwood Dr, Tiffin, OH 44883-1976 | 2007-05-08 |
| 1396882171 | Ralph Joseph Temple | Dentist | 2540 S State Route 100, Tiffin, OH 44883-9356 | 2007-01-31 |
| 1871698324 | Jeffrey D Shawberry | Dentist | 66 Ashwood Dr, Tiffin, OH 44883-1908 | 2006-09-13 |
| 1730297904 | Kevin Michael Hart | Dentist | 113 W Marengo Rd, Tiffin, IA 52340-9212 | 2006-08-28 |
| 1326034661 | James C Wilson | Dentist | 19 W Market St, Suite A, Tiffin, OH 44883-2772 | 2005-09-22 |
| 1447753918 | Julius M. Kioko Jr. | Dentist | 1344 W Seneca Ave, Tiffin, OH 44883-2652 | 2018-03-12 |
| 1902296262 | Weininger Family Dentistry LLC | Dentist | 2540 S State Route 100, Tiffin, OH 44883-9356 | 2015-01-26 |
| 1619285970 | Tiffin Dental Associates | Dentist | 27 St Lawrence Dr, Suite 109, Tiffin, OH 44883-8312 | 2010-09-21 |
| Find all providers in TIFFIN | ||||
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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.