Mall Raod Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

6596 Issued in KY

Legal business name

MALL RAOD DENTAL CENTER

Practice address

8197 Mall Rd
Florence, KY 41042-1413

Phone

(859) 801-4036

NPI assigned

Jan 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jay Sadrinia, DMD

Title

Dentist

Phone

(859) 801-4036

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1285024331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8197 MALL RD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421413",
            "telephone_number": "859-801-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8197 MALL RD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421413",
            "telephone_number": "859-801-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALL RAOD DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "SADRINIA",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "859-801-4036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "6596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Maddox, APRN
• Morgan Magowan, AU.D.
• Tracy Mahaney
• Kandace Maines, APRN
• Gerda Maissel, MD
• Patricia M Malloy, RN
• Rosa Mangan
• Anne Marie Mangold, LCSW
• Mary Mann, CNP
• Nicholas Tyler Manning

• Dentist in Florence, KY
• Providers in Florence, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.