Bainbridge Dental Associates, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

17095 Issued in OH

Legal business name

BAINBRIDGE DENTAL ASSOCIATES, INC

Practice address

16775 Chillicothe Rd
Chagrin Falls, OH 44023-4519

Phone

(440) 543-3688

Fax

(440) 543-3691

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Monique Renee McGraw

Title

Office Manager

Phone

(440) 543-3688

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1164935136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16775 CHILLICOTHE RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234519",
            "telephone_number": "440-543-3688",
            "fax_number": "440-543-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16775 CHILLICOTHE RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234519",
            "telephone_number": "440-543-3688",
            "fax_number": "440-543-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAINBRIDGE DENTAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-543-3688",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "17095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0553851",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Auburn Volunteer Fire Department
• Emily Marie Aufmuth Gunnoe
• Sophia Ann Augier
• Aziza Wahby DO
• Bainbride Dental Associates
• Bainbridge Township
• Melissa Anne Baker, MS CCC-SLP
• Nicole Rae Balsom
• Amy Baraona, PT
• Carla Basconi, DPT

• Dentist in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.