NPIMap

Organization Active NPI

Eric S Dunn DDS Inc

  • Dentist
  • Oxford, OH
National Provider Identifier
1205200763
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.022862 Issued in OH
Legal business name
ERIC S DUNN DDS INC
Practice address
600 McGuffey Ave
Oxford, OH 45056-2028
Phone
(513) 523-7541
Fax
(513) 523-7542
NPI assigned
Nov 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Dr. Eric Shane Dunn, DDSNPI 1053475277
Title
President
Phone
(513) 523-7541

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30.022862 OH Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

600 McGuffey Ave
Oxford, OH 45056-2028

Mailing address

600 McGuffey Ave
Oxford, OH 45056-2028
Phone (513) 523-7541

Other names 1

  • Willow Creek Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

600 McGuffey Ave
Oxford, OH 45056
Phone (513) 523-7372

Practitioners & affiliated clinicians

Practitioners 3

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": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1205200763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MCGUFFEY AVE",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450562028",
            "telephone_number": "513-523-7541",
            "fax_number": "513-523-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MCGUFFEY AVE",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450562028",
            "telephone_number": "513-523-7541",
            "fax_number": "513-523-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC S DUNN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-523-7541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.022862",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Creek Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.