THOMAS J MADL JR DMD, LLC (NPI# 1922165943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922165943 |
| Entity Type | Organization |
| Organization Name | THOMAS J MADL JR DMD, LLC |
| Practice Address |
1003 Harrison Ave Suite 300 Harrison OH 45030-1799 |
| Practice Telephone | 5133674048 |
| Practice Fax Number | 5133674068 |
| Mailing Telephone | 5133674048 |
| Mailing Fax Number | 5133674068 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS JOSEPH MADL JR. (OPERATING MEMBER) |
| Authorized Official Telephone | 5133674048 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
30020664 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2038244 | 05 |
| Street Address |
1003 HARRISON AVE SUITE 300 |
| City | HARRISON |
| State | OH |
| Zip Code | 45030-1799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697126 | Michael Frederick Ringel | Optometrist | 1003 Harrison Ave, Ste 100, Harrison, OH 45030-1553 | 2005-05-31 |
| 1720145832 | Thomas Joseph Madl Jr. | Dentist | 1003 Harrison Ave, Suite 300, Harrison, OH 45030-1799 | 2007-01-02 |
| 1962415893 | Michael F. Ringel, O.d., Inc. | Optometrist | 1003 Harrison Ave, Suite 100, Harrison, OH 45030-1799 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225437924 | Emily Hulsmann | Occupational Therapy Assistant | 324 South Elm Street, Harrison, OH 45030 | 2014-08-19 |
| 1265840300 | Kim Hiatt | Home Health Aide | 406 Harrison Ave., Harrison, OH 45030 | 2014-07-31 |
| 1134546369 | Stephanie Marie O'connor | Speech-Language Pathologist | 600 E. Broadway Street, Harrison Elementary, Harrison, OH 45030 | 2014-03-26 |
| 1124442330 | Karen Stephens | Occupational Therapist | 230 S. Elm Str, Harrison, OH 45030 | 2014-02-07 |
| 1497199079 | State Line Treatment Services, LLC | Community/Behavioral Health | 120 May Drive, Harrison, OH 45030 | 2013-04-25 |
| 1881961647 | Kimberly Marie Decarlo | Physical Therapist | 1149 Stone Drive, Suite 500, Harrison, OH 45030 | 2011-11-22 |
| 1154598753 | Bill D. Marinakis | Dentist | 1194 Stone Dr, Harrison, OH 45030 | 2008-05-13 |
| 1508087420 | Rita Maureen Girard | Family Medicine | 10450 New Haven Road, Crossroad Health Center, Harrison, OH 45030 | 2007-05-01 |
| 1285704197 | Alan George Burwinkel | Dermatology | 1149 Stone Dr Ste 100, Harrison, OH 45030 | 2006-11-08 |
| 1265447221 | Drs Ronald Cooke & George Landon Optometrists LLC | Optometrist | 10051 A Simonson Road, Suite 3, Harrison, OH 45030 | 2006-07-29 |
| Find all providers in zip 45030 | ||||
| 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 |
|---|---|---|---|---|
| 1487897179 | Cristina Beatrice Georgescu | Dentist | 450 Mamaroneck Ave Ste 403, Harrison, NY 10528-2430 | 2009-04-12 |
| 1376031971 | Eunjung Park | Dentist | 450 Mamaroneck Ave Ste 403, Harrison, NY 10528-2436 | 2018-04-29 |
| 1316487788 | Smile Starters Pediatric Dentistry Pllc | Dentist | 450 Mamaroneck Ave, Suite 403, Harrison, NY 10528-2400 | 2017-03-03 |
| 1669750311 | Eileen Dano Calamia | Dentist | 450 Mamaroneck Ave Ste 403, Harrison, NY 10528-2430 | 2011-07-29 |
| 1720145832 | Thomas Joseph Madl Jr. | Dentist | 1003 Harrison Ave, Suite 300, Harrison, OH 45030-1799 | 2007-01-02 |
| 1417964669 | Lowell Dwaine Williams | Dentist | 500 N Main St, Harrison, AR 72601-3536 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931911 | Rachel I Rosen, Dds LLC | Dentist | 9964 Vail Dr Ste 1, Twinsburg, OH 44087-2972 | 2020-10-30 |
| 1861014334 | Page Pediatric Dentistry | Dentist | 5699 Innovation Dr, Dublin, OH 43016-3312 | 2020-05-07 |
| 1629602412 | Tuka N/a Sada | Dentist | 9601 Chester Ave Rm 284-h, Cleveland, OH 44106-1666 | 2020-03-02 |
| 1992336093 | Al Saad Dental LLC | Dentist | 7250 Center St Ste C, Mentor, OH 44060-4920 | 2020-01-28 |
| 1912547811 | Cincy Pediatric Dentistry, LLC | Dentist | 1131 Cryer Ave, Cincinnati, OH 45208 | 2020-01-09 |
| 1790338168 | Corbin Salthouse | Dentist | 13390 Cedar Rd, Cleveland Heights, OH 44118-2955 | 2019-07-24 |
| 1588223929 | Amber Sun | Dentist | 11100 Euclid Ave # Rb&c1200, Cleveland, OH 44106-1716 | 2019-06-10 |
| 1710546437 | Kyle R. Jackson, Dds, LLC | Dentist | 4090 Indian Ripple Rd Unit 102, Beavercreek, OH 45440-3253 | 2019-06-06 |
| 1932764107 | Cuadra Pediatric Dentistry, LLC | Dentist | Cuadra Pediatric Dentistry, LLC, 486 Wentz Street, Tiffin, OH 44883 | 2019-05-03 |
| 1265901136 | Ohio Dental Team LLC | Dentist | 7690 First Place, Bldg D, Suite E, Oakwood, OH 44146 | 2018-11-20 |
| 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.