NPIMap

Organization Active NPI

Miami Valley Oral Surgery and Dental Implants LLC

Doing business as Cudney and Ingoldsby Oral Surgery and Dental Implants

  • Oral and Maxillofacial Surgery (Dentist)
  • Beavercreek, OH
National Provider Identifier
1174393060
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
MIAMI VALLEY ORAL SURGERY AND DENTAL IMPLANTS LLC
Doing business as
Cudney and Ingoldsby Oral Surgery and Dental Implants
Practice address
3585 Wendleton LN
Beavercreek, OH 45432-2753
Phone
(937) 426-8083
Fax
(937) 426-2818
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Dr. Steven Michael Cudney, DMDNPI 1316385677
Title
Owner/Employee
Phone
(269) 615-6987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

3585 Wendleton LN
Beavercreek, OH 45432-2753

Mailing address

3585 Wendleton LN
Beavercreek, OH 45432-2753
Phone (937) 426-8083

Other names 1

  • Cudney and Ingoldsby Oral Surgery and Dental Implants Doing business as

National Provider Directory

National Provider Directory

Locations

3585 Wendleton Ln
Beavercreek, OH 45432
Phone (937) 426-8083

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1174393060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 WENDLETON LN",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322753",
            "telephone_number": "937-426-8083",
            "fax_number": "937-426-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 WENDLETON LN",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322753",
            "telephone_number": "937-426-8083",
            "fax_number": "937-426-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI VALLEY ORAL SURGERY AND DENTAL IMPLANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "CUDNEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "269-615-6987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cudney and Ingoldsby Oral Surgery and Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.