DMG - South Main, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026835L Issued in PA

Legal business name

DMG - SOUTH MAIN, LLC

Practice address

506 S Main St
Suite 2103
Zelienople, PA 16063-1603

Phone

(724) 453-1200

Fax

(724) 452-1585

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Russell J Caputo, DMD

Title

Owner

Phone

(412) 635-0710

Specialties & licenses 1

Addresses

Other names 1

• Caputo Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John David Avolio, DMD

  • General Practice Dentistry
  • Zelienople, PA
  • NPI 1548491459

  General Practice

  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1164575957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 MCKNIGHT RD",
            "address_2": "SUITE 403",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373420",
            "telephone_number": "412-366-8745",
            "fax_number": "412-366-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S MAIN ST",
            "address_2": "SUITE 2103",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "160631603",
            "telephone_number": "724-453-1200",
            "fax_number": "724-452-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMG - SOUTH MAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "CAPUTO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-635-0710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026835L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caputo Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beth Dalmagro, M.A
• Marissa Damon, MA
• Diabetes Fundamentals LLC
• Melissa Diaz, M.S.
• Erika Marie Dings, DPT
• Dina Eileen Donaldson
• Terri Lynn Donnick, OTR/L
• Abbey Marion Duco, NCC
• Heather M Efaw, B.S. NUTRITION
• Michelle Eubanks, DPT

• All providers in Zelienople, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.