Dental Express, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20654 Issued in OH

Legal business name

DENTAL EXPRESS, LLC

Practice address

3830 Starrs Centre Dr
Suite 2
Canfield, OH 44406-8003

Phone

(330) 533-8699

Fax

(330) 533-2501

NPI assigned

Dec 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ted A Schuster, DDS

Title

President

Phone

(330) 533-8699

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1205072253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 STARRS CENTRE DR",
            "address_2": "SUITE 2",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068003",
            "telephone_number": "330-533-8699",
            "fax_number": "330-533-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 STARRS CENTRE DR",
            "address_2": "SUITE 2",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068003",
            "telephone_number": "330-533-8699",
            "fax_number": "330-533-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL EXPRESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "SCHUSTER",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-533-8699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David N Baer DPM
• Rea Joann Dawson
• Grace Deegan, LPC
• Brian J Dematteo, D.D.S.
• James Charles Demidovich, DO
• Gayle Derosa, L.P.N.
• Michael A Derosa, DO
• Diabetic Supplies, Inc.
• Pamela A Dickerhoof, RN03/22/1955
• Toni Dimargio, LPCC

• General Practice Dentistry in Canfield, OH
• Providers in Canfield, 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 Dec 22, 2008; 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.