Elissar Daher, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025484 Issued in OH

Practice address

25 N Portage St
Doylestown, OH 44230-1349

Phone

(330) 658-6983

NPI assigned

Jun 12, 2018

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doylestown Dental Associates

  • General Practice Dentistry
  • Doylestown, OH
  • NPI 1538841515
  Authorized official Same address or phone
• John a Hudec DDS Inc

  dba Hudec Dental Associates

  • General Practice Dentistry
  • Cleveland, OH
  • NPI 1306878004
  NPD (past)
• John a Hudec DDS Specialty Services Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Cleveland, OH
  • NPI 1831121581

  General Practice

  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1063905289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N PORTAGE ST",
            "city": "DOYLESTOWN",
            "state": "OH",
            "postal_code": "442301349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N PORTAGE ST",
            "city": "DOYLESTOWN",
            "state": "OH",
            "postal_code": "442301349",
            "telephone_number": "330-658-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHER",
        "first_name": "ELISSAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W Bolois, LICDC-CS
• Cinderella Braley
• Mandy Melissa Carpenter, PT
• Chippewa Local Schools
• Chippewa Township Trustees
• Doylestown Dental Associates
• Doylestown Dental Associates Dr Jacko and Dr Siefker DDS LLC
• Jillian Edmonds, PHARMD
• Foot and Ankle Institute, Inc
• Becky Dianne George, CCC/SLP

• General Practice Dentistry in Doylestown, OH
• Providers in Doylestown, 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 Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.