Organization Active NPI

Patel Family Dental LLC

  • Dental Clinic/Center
  • Marysville, OH
National Provider Identifier
1215549290
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PATEL FAMILY DENTAL LLC
Practice address
100 Scott Farms Blvd
Marysville, OH 43040-7069
Phone
(937) 642-2400
Fax
(937) 642-2490
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Ms. Heather Robison
Title
Office Manager
Phone
(937) 642-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

100 Scott Farms Blvd
Marysville, OH 43040-7069

Mailing address

100 Scott Farms Blvd
Marysville, OH 43040-7069
Phone (937) 642-2400

Other names 1

  • TLC Dental Center of Marysville Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.tlcdentalcenterofmarysville.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1215549290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SCOTT FARMS BLVD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407069",
            "telephone_number": "937-642-2400",
            "fax_number": "937-642-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SCOTT FARMS BLVD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430407069",
            "telephone_number": "937-642-2400",
            "fax_number": "937-642-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-642-2400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.tlcdentalcenterofmarysville.com",
            "affiliation": "N",
            "address_1": "100 Scott Farms Blvd",
            "city": "Marysville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430407069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TLC Dental Center of Marysville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.