NPIMap

Organization Active NPI

M Alexandrunas D Hudoba Dental 1 Inc

Doing business as Premier Dental of Canfield

  • Dental Clinic/Center
  • Canfield, OH
National Provider Identifier
1275208498
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
M ALEXANDRUNAS D HUDOBA DENTAL 1 INC
Doing business as
Premier Dental of Canfield
Practice address
13 Lisbon St
Canfield, OH 44406-1415
Phone
(330) 533-5666
NPI assigned
Aug 10, 2021
Last updated
Aug 10, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
M ALEXANDRUNAS D HUDOBA DENTAL 1 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Mark R. Alexandrunas, DMD
Title
Owner
Phone
(740) 587-4891

Specialties & licenses 1

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

Addresses

Primary practice location

13 Lisbon St
Canfield, OH 44406-1415

Mailing address

13 Lisbon St
Canfield, OH 44406-1415

Other names 1

  • Premier Dental of Canfield Doing business as

National Provider Directory

National Provider Directory
Tax ID family
M Alexandrunas D Hudoba Dental 1 Inc12 organizations share this tax ID, including this one
Part of
M Alexandrunas D Hudoba Dental 1 Inc

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13 Lisbon St
Canfield, OH 44406
Phone (330) 533-5666

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1275208498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 LISBON ST",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 LISBON ST",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444061415",
            "telephone_number": "330-533-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M ALEXANDRUNAS D HUDOBA DENTAL 1 INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M ALEXANDRUNAS D HUDOBA DENTAL 1 INC",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRUNAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-587-4891",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental of Canfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.