Joseph Dental of South Shore LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19829 Issued in OH

Legal business name

JOSEPH DENTAL OF SOUTH SHORE LLC

Doing business as

South Shore Family Dental

Practice address

126 Biggs LN
South Shore, KY 41175-7847

Phone

(606) 932-3181

NPI assigned

Apr 14, 2015

Last updated

Apr 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joe Robert Joseph Jr., DDSNPI 1679690176

Title

Owner

Phone

(614) 777-8722

Specialties & licenses 1

Addresses

Other names 1

• South Shore Family Dental Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joe R Joseph Jr., DDS

  • Dentist
  • Hilliard, OH
  • NPI 1679690176
  Authorized official Same address or phone
• Philip E Brown, DDS

  • General Practice Dentistry
  • South Shore, KY
  • NPI 1255494928
  NPD (past)

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1053707240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 BIGGS LN",
            "city": "SOUTH SHORE",
            "state": "KY",
            "postal_code": "411757847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 BIGGS LN",
            "city": "SOUTH SHORE",
            "state": "KY",
            "postal_code": "411757847",
            "telephone_number": "606-932-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH DENTAL OF SOUTH SHORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-777-8722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heart EMS Inc
• Gregory Hudson, MD
• Matthew G Hudson, MD
• Samuel David Hudson, MD
• Jerry Wayne Iery, PA
• Lewis County Primary Care Center, Inc. (South Shore Family Health Center Pharmacy)
• Lewis County Primary Care Center, Inc. (PrimaryPlus)
• Little Leaps Therapy Co.
• McDonald Pharmacy Inc (McDonald Pharmacy)
• Sarah Martin Meadows, LPN

• General Practice Dentistry in South Shore, KY
• Providers in South Shore, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.