Community Dental Care Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.015220 Issued in OH

Legal business name

COMMUNITY DENTAL CARE INC.

Practice address

767 Columbus Ave
Lebanon, OH 45036-1749

Phone

(513) 932-4806

Fax

(513) 932-4274

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregg L. Testerman, D.D.S.NPI 1477769016

Title

President

Phone

(513) 932-4806

Specialties & licenses 1

Addresses

Locations

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.

• Gregg L. Testerman

  • General Practice Dentistry
  • Lebanon, OH
  • NPI 1477769016
  Authorized official Same address or phone

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164553640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 COLUMBUS AVE",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361749",
            "telephone_number": "513-932-4806",
            "fax_number": "513-932-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 COLUMBUS AVE",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450361749",
            "telephone_number": "513-932-4806",
            "fax_number": "513-932-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DENTAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TESTERMAN",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-932-4806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.015220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Coffey, RN
• Angela Jeanne Cole, MA, CCC-SLP
• Christian Cole
• Ellen Pearson Cole, PT DPT
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• Companions LLC

• General Practice Dentistry in Lebanon, OH
• Providers in Lebanon, 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 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.

Verify at the official NPI Registry.