NPIMap

Organization Active NPI

M Alexandrunas D Hudoba Dental 1 Inc

Doing business as Premier Dental of Oakwood

  • Dental Clinic/Center
  • Dayton, OH
National Provider Identifier
1154922003
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
M ALEXANDRUNAS D HUDOBA DENTAL 1 INC
Doing business as
Premier Dental of Oakwood
Practice address
924 Shroyer Rd
Dayton, OH 45419-3632
Phone
(937) 293-8272
NPI assigned
Nov 6, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
M ALEXANDRUNAS D HUDOBA DENTAL 1 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Mark R. Alexandrunas
Title
Owner
Phone
(740) 587-4891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

924 Shroyer Rd
Dayton, OH 45419-3632

Mailing address

PO Box 822
New Albany, OH 43054-0822

Other names 1

  • Premier Dental of Oakwood Doing business as

National Provider Directory

National Provider Directory
Tax ID family
M Alexandrunas D Hudoba Dental 1 Inc12 organizations share this tax ID, including this one
Part of
M Alexandrunas D Hudoba Dental 1 Inc

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

924 Shroyer Rd
Dayton, OH 45419
Phone (937) 293-8272

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1154922003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430540822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 SHROYER RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454193632",
            "telephone_number": "937-293-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M ALEXANDRUNAS D HUDOBA DENTAL 1 INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M ALEXANDRUNAS D HUDOBA DENTAL 1 INC",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRUNAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-587-4891"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental of Oakwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.

Verify at the official NPI Registry.