Organization Active NPI

Alpha Dental

  • Oral and Maxillofacial Surgery (Dentist)
  • Logan, OH
National Provider Identifier
1265740625
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
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.

National Provider Directory

National Provider Directory

Locations

12906 State Route 664 S
Ste A7
Logan, OH 43138
Phone (567) 224-8745

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X OH Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.