Monroevilledentalassociatesllc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30018914 Issued in OH

Legal business name

MONROEVILLEDENTALASSOCIATESLLC

Practice address

136 Ridge St N
Suite C
Monroeville, OH 44847-9469

Phone

(419) 465-2574

Fax

(419) 465-2598

NPI assigned

Apr 29, 2008

Last updated

Apr 29, 2008By 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. George Lee Trask, DDSNPI 1114933801

Title

Dentist

Phone

(419) 465-2574

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• George Lee Trask, DDS

  • Dentist
  • Monroeville, OH
  • NPI 1114933801
  NPD (past) Authorized official

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1306011408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 RIDGE ST N",
            "address_2": "SUITE C",
            "city": "MONROEVILLE",
            "state": "OH",
            "postal_code": "448479469",
            "telephone_number": "419-465-2574",
            "fax_number": "419-465-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 RIDGE ST N",
            "address_2": "SUITE C",
            "city": "MONROEVILLE",
            "state": "OH",
            "postal_code": "448479469",
            "telephone_number": "419-465-2574",
            "fax_number": "419-465-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROEVILLEDENTALASSOCIATESLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "TRASK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "419-465-2574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30018914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2678526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn J Eaton
• Family Health Services of Erie County
• Danielle Renee Lindenberger
• Michala Noelle Mohr, RN
• Monroeville Local School District
• Laura J Ott, LPN
• Anna Terese Sage, LPN
• George Lee Trask, DDS

• General Practice Dentistry in Monroeville, OH
• Providers in Monroeville, 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 Apr 29, 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.