PATRICIA J MANZO-CRADDOCK (NPI# 1861605875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861605875 |
| Entity Type | Individual |
| Full Name | PATRICIA J MANZO-CRADDOCK |
| Credential | D.D.S. |
| Practice Address |
10816 Kinsman Rd. Newbury OH 44065 |
| Mailing Address |
10816 Kinsman Rd. P.o. Box 342 Newbury OH 44065 |
| Practice Telephone | 4405645387 |
| Mailing Telephone | 4405645387 |
| Mailing Fax Number | 4405645419 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 18595 | OH | Dental Providers |
| Street Address |
10816 KINSMAN RD. |
| City | NEWBURY |
| State | OH |
| Zip Code | 44065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659876217 | Suzanne Williams | Physical Therapist | Holly Hill Nursing Home, 10190 Fairmount Rd, Newbury, OH 44065 | 2018-03-27 |
| 1528585692 | Joseph Tima | Physical Therapist | 10190 Fairmont Rd., Newbury, OH 44065 | 2017-08-29 |
| 1972772390 | University Primary Care Practices Inc | Family Medicine | 11110 Kinsman Rd # 2, Newbury, OH 44065 | 2008-02-29 |
| 1891850483 | Martin Drug Co LLC | Pharmacy | 10760 Kinsman Rd, Newbury, OH 44065 | 2006-12-26 |
| 1780623264 | Gail Jones | Family Medicine | 11110 Kinsman Rd #2, Newbury, OH 44065 | 2006-06-06 |
| 1801312384 | Cara Joan Barton | Occupational Therapist | 10190 Fairmount Rd, Newbury, OH 44065 | 2017-08-16 |
| 1629492780 | Kary Jay Kepes | Physical Therapy Assistant | 470 Center Street, 2, Chardon, OH 44065 | 2014-02-10 |
| 1144392523 | Fairmount Nursing Home Inc | Hospice Care, Community Based | 10190 Fairmount Road, Newbury, OH 44065-0337 | 2006-11-14 |
| 1467653683 | Ami M Hall | Family Medicine | 10780 Kinsman Rd, Newbury, OH 44065-0537 | 2007-05-29 |
| 1649377961 | Nancy Ivansek | Physician Assistant | 10780 Kinsman Rd, Newbury, OH 44065-0537 | 2006-09-20 |
| Find all providers in zip 44065 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372583 | Jacob Falter | Dentist | 4818 Hillcrest St S, Hilliard, OH 43026-1610 | 2020-09-24 |
| 1508476409 | Holpuch Dental Inc | Dentist | 340 Ridge Rd Ste 2, Newton Falls, OH 44444-1264 | 2020-08-05 |
| 1336758762 | Swati Verma | Dentist | 9850 Colerain Ave, Cincinnati, OH 45251-1470 | 2020-07-31 |
| 1508484320 | Kayla Fike D.d.s. LLC | Dentist | 5311 Broadview Rd, Parma, OH 44134-1617 | 2020-07-08 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1346867132 | Ashley Nicole Billings | Dentist | 4640 W Alexis Rd Ste 200, Toledo, OH 43623-1182 | 2020-06-29 |
| 1962028456 | Hiralben Patel | Dentist | 125 Amy Dr, Bryan, OH 43506-9086 | 2020-06-19 |
| 1942825815 | James Zaiger | Dentist | 73 W 5th Ave, Columbus, OH 43201-3218 | 2020-06-16 |
| 1831713015 | Matthew T Chaney | Dentist | 720 W 3rd Ave Apt 207, Columbus, OH 43212-3157 | 2020-06-03 |
| 1417570250 | Julissa E Burgos | Dentist | 5046 Turney Rd, Garfield Heights, OH 44125-2503 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
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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.