Scott B Kalniz Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SCOTT B KALNIZ DENTAL GROUP LLC

Practice address

2542 Waterford Village Dr
Sylvania, OH 43560-8968

Phone

(419) 206-2971

NPI assigned

Mar 31, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Derek Tefft

Title

Ceo

Phone

(419) 262-0648

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1114720794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 WATERFORD VILLAGE DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435608968",
            "telephone_number": "419-206-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 WATERFORD VILLAGE DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435608968",
            "telephone_number": "419-206-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT B KALNIZ DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "TEFFT",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-262-0648",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Schroeder, CNP
• Kevin Robert Schroeder
• Todd J. Schultz, D.D.S.
• Eric Schupp, MD
• Tamara Scordo
• Rachel Scouten
• Amanda M Seabolt, PH.D., PMHNP-BC, RN
• Erin J Seay
• Dawn R Seiler, LPN
• Eugene Lee Seiler

• General Practice Dentistry in Sylvania, OH
• Providers in Sylvania, 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 Mar 31, 2025; 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.