Active NPI
Mahoning Valley Dental Services
- Dentist
- Youngstown, OH
National Provider Identifier
1073525689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- MAHONING VALLEY DENTAL SERVICES
- Practice address
- 5100 Belmont Ave
Suite 1
Youngstown, OH 44505-1043 - Phone
- (330) 759-1771
- Fax
- (330) 759-1227
- NPI assigned
- Aug 12, 2006
- Last updated
- Aug 22, 2020
- 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
- Ms. Lisa A Morella
- Title
- Office Manager
- Phone
- (330) 759-1771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
5100 Belmont Ave
Suite 1
Youngstown, OH 44505-1043
Mailing address
5100 Belmont Ave
Suite 1
Youngstown, OH 44505-1043
Phone (330) 759-1711
National Provider Directory
National Provider Directory- Tax ID family
- Mahoning Valley Dental Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
5100 Belmont Ave
Ste 1
Youngstown, OH 44505
Phone (330) 759-1771
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Dentist
- Youngstown, OH
- NPI 1790918969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073525689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 BELMONT AVE",
"address_2": "SUITE 1",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051043",
"telephone_number": "330-759-1711",
"fax_number": "330-759-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 BELMONT AVE",
"address_2": "SUITE 1",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051043",
"telephone_number": "330-759-1771",
"fax_number": "330-759-1227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAHONING VALLEY DENTAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MORELLA",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "330-759-1771",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
- Mahoning County Educational Service Center
- Mahoning Lab Solutions, LLC. (Any Lab Test Now - Youngstown)
- Mahoning Medical Equipment Inc. (Mahoning Medical Supply Inc.)
- Mahoning Unlimited Classroom
- Mahoning Valley Birth Center LLC
- Mahoning Valley Emergency Specialists
- Mahoning Valley Emergency Specialists LLC
- Mahoning Valley Hematology Oncology Assoc. Inc.
- Mahoning Valley Imaging LTD
- Mahoning Valley Infusioncare, Inc
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.