My Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

30022270 Issued in OH

Legal business name

MY FAMILY DENTAL

Practice address

4110 Buckeye Pkwy
Grove City, OH 43123-8175

Phone

(614) 539-0765

Fax

(614) 522-6767

NPI assigned

Oct 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lee Smith Jr., DDS

Title

Owner

Phone

(614) 759-4746

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1295019115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 BUCKEYE PKWY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238175",
            "telephone_number": "614-539-0765",
            "fax_number": "614-522-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BUCKEYE PKWY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238175",
            "telephone_number": "614-539-0765",
            "fax_number": "614-522-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-759-4746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30022270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1871652495",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1821011701",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Grove City, OH
• Providers in Grove City, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.