NPIMap

Organization Active NPI

Sweet Tooth Comprehensive Dentistry

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1003207010
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.023231 Issued in OH
Legal business name
SWEET TOOTH COMPREHENSIVE DENTISTRY
Practice address
2310 Baltimore Ave
Cincinnati, OH 45225-1104
Phone
(513) 541-5599
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dawn Louise Broyles, DDSNPI 1306133707
Title
Dentist/Owner
Phone
(513) 541-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30.023231 OH Primary

Addresses

Primary practice location

2310 Baltimore Ave
Cincinnati, OH 45225-1104

Mailing address

PO Box 36427
Cincinnati, OH 45236-0427
Phone (513) 541-5599

National Provider Directory

National Provider Directory

Locations

2310 Baltimore Ave
Cincinnati, OH 45225
Phone (513) 541-5599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1003207010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36427",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452360427",
            "telephone_number": "513-541-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 BALTIMORE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452251104",
            "telephone_number": "513-541-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOOTH COMPREHENSIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "BROYLES",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "513-541-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.