Medina Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MEDINA DENTAL CORPORATION

Practice address

805 E Washington St Ste 110
Medina, OH 44256-3331

Phone

(330) 952-2300

Fax

(440) 226-8284

NPI assigned

Sep 4, 2024

Last updated

Sep 4, 2024By 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

Dr. Christine Skordeles, DDSNPI 1407982952

Title

VP

Phone

(216) 282-1287

Specialties & licenses 1

Addresses

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.

• Christine J Skordeles, DDS

  • General Practice Dentistry
  • New York, NY
  • NPI 1407982952
  NPD Authorized official

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1275368839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E WASHINGTON ST STE 110",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563331",
            "telephone_number": "330-952-2300",
            "fax_number": "440-226-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E WASHINGTON ST STE 110",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563331",
            "telephone_number": "330-952-2300",
            "fax_number": "440-226-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "SKORDELES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "216-282-1287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medina City Schools
• Medina County Board of Mr/DD (MCAC - Medina County Achievement Center)
• Medina County Office for Older Adults
• Medina County Office for Older Adults
• Medina Creative Accessibility
• Medina Dental Sleep Solutions LLC
• Medina Emergency Associates LTD
• Medina Endodontic Associates, Inc.
• Medina Eye Associates Inc.
• Medina Family Chiropractic Center Inc.

• General Practice Dentistry in Medina, OH
• Providers in Medina, 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 Sep 4, 2024; 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.