MDC of Ohio

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15902 Issued in OH

Legal business name

MDC OF OHIO

Doing business as

Spring Valley Dental

Practice address

1359 S Holland Sylvania Rd
Holland, OH 43528-8423

Phone

(419) 865-4441

Fax

(419) 865-9032

NPI assigned

Nov 14, 2007

Last updated

Jul 2, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

MDC OF OHIOAs reported in NPPES

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

Authorized official

Name

Mark Bedford, DDS

Title

President

Phone

(419) 865-4441

Specialties & licenses 1

Addresses

Other names 1

• Spring Valley Dental Doing business as

Part of

MDC of Ohio

Locations

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1275714651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 S HOLLAND SYLVANIA RD",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288423",
            "telephone_number": "419-865-4441",
            "fax_number": "419-865-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 S HOLLAND SYLVANIA RD",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288423",
            "telephone_number": "419-865-4441",
            "fax_number": "419-865-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDC OF OHIO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDC OF OHIO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "BEDFORD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-865-4441",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deanna Marie McComish, L.A.T.C, P.T.
• Kymbria Dionne McConico
• Keionna Jontue McFarland
• Tameka McGee
• Mark McGurk, CDCA
• Alexis Means-McBeth
• Med1Care Therapy Partners LLC
• Med1Care, LLC
• Leah Meinert, CNM
• Yolanda E Merriweather, LPN

• General Practice Dentistry in Holland, OH
• Providers in Holland, 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 Jul 2, 2008; 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.