Family Dental Care in Marysville

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FAMILY DENTAL CARE IN MARYSVILLE

Practice address

11580 US RT 36 E
Marysville, OH 43040-8512

Phone

(740) 852-7741

NPI assigned

Sep 14, 2016

Organization subpart

No

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

Authorized official

Name

Ali Khaksarfard

Title

Owner

Phone

(740) 852-7741

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1053869479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11580 US RT 36 E",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11580 US RT 36 E",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408512",
            "telephone_number": "740-852-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CARE IN MARYSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "KHAKSARFARD",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-852-7741"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Ewing, NP
• Eyecare Marysville
• Ashley Fabiny
• Sydney Fabiny
• Aimee Fairman, P.T.
• Family First Medicine
• Family Health Care of Marysville, LLC
• Kellie Elizabeth Faulk
• Seth Fawn
• Michael Lynn Fay, M.D.

• General Practice Dentistry in Marysville, OH
• Providers in Marysville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.