Active NPI
Jon B. Dove, D.D.S. a Professional LLC
- Dentist
- Perrysburg, OH
National Provider Identifier
1043325368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19539
- Legal business name
- JON B. DOVE, D.D.S. A PROFESSIONAL LLC
- Practice address
- 139 W Indiana Ave
Suite 101
Perrysburg, OH 43551-1583 - Phone
- (419) 872-9191
- Fax
- (419) 872-9590
- NPI assigned
- Aug 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jon Bruce Dove, D.D.S.
- Title
- Dentist
- Phone
- (419) 872-9191
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19539 | OH | Primary |
Addresses
Primary practice location
139 W Indiana Ave
Suite 101
Perrysburg, OH 43551-1583
Mailing address
139 W Indiana Ave
Suite 101
Perrysburg, OH 43551-1583
Phone (419) 872-9191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 803897 | Other | OH | UNITED CONCORDIA PROVIDER |
Other names 1
- Perrysburg Family Dentistry
National Provider Directory
National Provider DirectoryLocations
139 W Indiana Ave
Ste 101
Perrysburg, OH 43551
Phone (419) 872-9191
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Perrysburg, OH
- NPI 1033306675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043325368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 W INDIANA AVE",
"address_2": "SUITE 101",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511583",
"telephone_number": "419-872-9191",
"fax_number": "419-872-9590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 W INDIANA AVE",
"address_2": "SUITE 101",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511583",
"telephone_number": "419-872-9191",
"fax_number": "419-872-9590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JON B. DOVE, D.D.S. A PROFESSIONAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DOVE",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "BRUCE",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "419-872-9191",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "OH",
"license": "19539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER",
"identifier": "803897",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Perrysburg Family Dentistry",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.