Active NPI
Alpha Dental
- Oral and Maxillofacial Surgery (Dentist)
- Logan, OH
National Provider Identifier
1265740625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- ALPHA DENTAL
- Practice address
- 12906 State Route 664 S
Suite A7
Logan, OH 43138-9260 - Phone
- (567) 224-8745
- NPI assigned
- Sep 20, 2010
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ming Sheng Yu, DDS
- Title
- Owner
- Phone
- (567) 224-8754
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Logan, OH
- NPI 1841401932
Oral and Maxillofacial Surgery
National Provider Directory
National Provider DirectoryLocations
12906 State Route 664 S
Ste A7
Logan, OH 43138
Phone (567) 224-8745
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
12906 State Route 664 S
Suite A7
Logan, OH 43138-9260
Mailing address
12906 State Route 664 S
Suite A7
Logan, OH 43138-9260
Phone (567) 224-8745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 22, 2010.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290384000000",
"number": "1265740625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12906 STATE ROUTE 664 S",
"address_2": "SUITE A7",
"city": "LOGAN",
"state": "OH",
"postal_code": "431389260",
"telephone_number": "567-224-8745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12906 STATE ROUTE 664 S",
"address_2": "SUITE A7",
"city": "LOGAN",
"state": "OH",
"postal_code": "431389260",
"telephone_number": "567-224-8745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHA DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-20",
"last_updated": "2010-11-22",
"status": "A",
"authorized_official_last_name": "YU",
"authorized_official_first_name": "MING SHENG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "567-224-8754",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.