Moorehead Dentistry Lebanon LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MOOREHEAD DENTISTRY LEBANON LLC

Doing business as

Moorehead Family Dentistry

Practice address

1521 Walmart Dr Ste 501
Lebanon, OH 45036-8350

Phone

(513) 282-6200

NPI assigned

Nov 18, 2020

Last updated

Nov 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phil Michael

Title

Coo

Phone

(513) 462-6583

Specialties & licenses 1

Addresses

Other names 1

• Moorehead Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Varsha Desai, DMD

  • General Practice Dentistry
  • Gainesville, FL
  • NPI 1528089281
  NPD (past)

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1225631773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 WALMART DR STE 501",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368350",
            "telephone_number": "513-282-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 WALMART DR STE 501",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450368350",
            "telephone_number": "513-282-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOREHEAD DENTISTRY LEBANON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "513-462-6583"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moorehead Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia R Monteith
• Tracy Moore Funke, LSW
• Amber Moore, LSW
• Lisa Moore
• Sara Moore
• Joseph M Moran, DPM
• Brynn Elizabeth Morgan
• Michael G Morris, LISW
• Amanda Megan Morrison, PTA
• Mothers & Sons Caregiving

• General Practice Dentistry in Lebanon, OH
• Providers in Lebanon, 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 Nov 18, 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.