MECKLER DENTAL PROVIDERS, INC. (NPI# 1942725551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942725551 |
| Entity Type | Organization |
| Organization Name | MECKLER DENTAL PROVIDERS, INC. |
| Other Organization Name | DENTALWORKS OF BRUNSWICK |
| Practice Address |
3455 Center Rd Brunswick OH 44212-3688 |
| Mailing Address |
7160 Dallas Pkwy Ste 400 Plano TX 75024-7111 |
| Practice Telephone | 2165841074 |
| Practice Fax Number | 2165841074 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2018-03-20 |
| Authorized Official Name | RACHEL NITTINGER (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 9727550816 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTALONE PARTNERS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| DentalWorks of Brunswick | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437342755 | Meckler Dental Providers, Inc. | Dentist | 7455 Marketplace Drive, Aurora, OH 44202 | 2007-08-21 |
| 1215451299 | Meckler Dental Providers, Inc. | Dentist | 2931 State Road, Cuyahoga Falls, OH 44223 | 2017-08-01 |
| Street Address |
3455 CENTER RD |
| City | BRUNSWICK |
| State | OH |
| Zip Code | 44212-3688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184100828 | Maya L Cortes | Counselor | 1839 Pearl Rd Ste 103, Brunswick, OH 44212 | 2018-07-16 |
| 1306331293 | Sanamkaiser, Inc | Dentist | 3864 Center Road, Brunswick, OH 44212 | 2018-06-25 |
| 1548780802 | Brunswick Health & Rehabilitation Center, Inc. | Skilled Nursing Facility | 4355 Laurel Rd, Brunswick, OH 44212 | 2017-06-27 |
| 1265989768 | Shannon Hearns | Specialist/Technologist | 2034 Coventry Drive, Brunswick, OH 44212 | 2016-09-01 |
| 1770972127 | Sapan Haribhakti | Pharmacist | 736 Jeanette Street, Brunswick, OH 44212 | 2015-01-22 |
| 1487931473 | Tiffany Lester | Occupational Therapist | 3225 Pinecrest, Brunswick, OH 44212 | 2011-11-04 |
| 1306153176 | Heather Kurtz | Skilled Nursing Facility | 1229 Roundtable Court, Brunswick, OH 44212 | 2010-09-01 |
| 1609033299 | Paul Lawrence Bushi | Dentist | 3725 Center Road, Brunswick, OH 44212 | 2008-05-21 |
| 1326247941 | Janet Nicol Husser | Chiropractor | 4036 Center Road, Suite A, Brunswick, OH 44212 | 2007-07-13 |
| 1518162197 | Peter M Mazzeo | Dentist | 1026 Pearl Road, Suites 1 & 2, Brunswick, OH 44212 | 2007-06-15 |
| Find all providers in zip 44212 | ||||
| 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 |
|---|---|---|---|---|
| 1386204568 | Keni Leonce | Dentist | 11455 Canal Xing, Brunswick, GA 31525-6747 | 2019-06-19 |
| 1497260145 | Brunswick Dentisty LLC | Dentist | 4741 Altama Ave, Brunswick, GA 31520-2910 | 2017-12-04 |
| 1124576954 | Georgia Dental Professionals, PC | Dentist | 165 Juniper Cir, Brunswick, GA 31520-1953 | 2016-09-21 |
| 1336430123 | Mary Anne Mackey | Dentist | 64 Pleasant St, Brunswick, ME 04011-2203 | 2011-04-27 |
| 1275703522 | Joe C. Massey | Dentist | 1108 1st St, Brunswick, GA 31520-4512 | 2008-03-03 |
| 1518162197 | Peter M Mazzeo | Dentist | 1026 Pearl Road, Suites 1 & 2, Brunswick, OH 44212 | 2007-06-15 |
| 1437364338 | George Michael Wommack | Dentist | 2900 Glynn Ave, Brunswick, GA 31520-4844 | 2007-05-14 |
| 1538374822 | Darryl Dale Daniel I | Dentist | 11 Professional Dr, Brunswick, GA 31520-3773 | 2007-05-11 |
| 1750501227 | Brian P. Kudla | Dentist | 2111 Pearl Rd, Brunswick, OH 44212-3245 | 2007-04-26 |
| 1649393851 | Robert William Mandel | Dentist | 3864 Center Rd, Brunswick, OH 44212 | 2007-04-10 |
| Find all providers in BRUNSWICK | ||||
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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.