NPIMap

Organization Active NPI

Rosehill Dental Center - M. Daneault Jr DDS LLC

  • Dentist
  • Reynoldsburg, OH
National Provider Identifier
1275627242
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21432 Issued in OH
Legal business name
ROSEHILL DENTAL CENTER - M. DANEAULT JR DDS LLC
Practice address
1338 Rosehill Road
Reynoldsburg, OH 43068-0240
Phone
(614) 751-9306
Fax
(614) 751-9307
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Marcel Joseph Daneault Jr., DDSNPI 1851588677
Title
Dentist / Owner
Phone
(614) 751-9306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 21432 OH Primary

Addresses

Primary practice location

1338 Rosehill Road
Reynoldsburg, OH 43068-0240

Mailing address

PO Box 240
1338 Rosehill Road
Reynoldsburg, OH 43068-0240
Phone (614) 751-9306

National Provider Directory

National Provider Directory

Locations

1338 Rosehill Rd
Reynoldsburg, OH 43068
Phone (614) 751-9306

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1275627242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "address_2": "1338 ROSEHILL ROAD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430680240",
            "telephone_number": "614-751-9306",
            "fax_number": "614-751-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 ROSEHILL ROAD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430680240",
            "telephone_number": "614-751-9306",
            "fax_number": "614-751-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEHILL DENTAL CENTER - M. DANEAULT JR DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "DANEAULT",
        "authorized_official_first_name": "MARCEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "614-751-9306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "21432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.