NPIMap

Organization Active NPI

Dental Health Associates of Sylvania, LTD

  • General Practice Dentistry
  • Sylvania, OH
National Provider Identifier
1013375641
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16671 Issued in OH
Legal business name
DENTAL HEALTH ASSOCIATES OF SYLVANIA, LTD
Practice address
3924 Sylvan Lakes Blvd
Sylvania, OH 43560-8701
Phone
(419) 882-4510
Fax
(419) 885-3771
NPI assigned
Feb 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Authorized official

Name
Mrs. Kathy Lynne Gibson
Title
Insurance Coordinator
Phone
(419) 882-4510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 16671 OH Primary

Addresses

Primary practice location

3924 Sylvan Lakes Blvd
Sylvania, OH 43560-8701

Mailing address

3924 Sylvan Lakes Blvd
Sylvania, OH 43560-8701
Phone (419) 882-4510

National Provider Directory

National Provider Directory

Locations

3924 Sylvan Lakes Blvd
Sylvania, OH 43560
Phone (419) 882-4510

Practitioners & affiliated clinicians

Practitioners 5

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": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1013375641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 SYLVAN LAKES BLVD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435608701",
            "telephone_number": "419-882-4510",
            "fax_number": "419-885-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 SYLVAN LAKES BLVD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435608701",
            "telephone_number": "419-882-4510",
            "fax_number": "419-885-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH ASSOCIATES OF SYLVANIA, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "419-882-4510",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.