Organization Active NPI

Summit Dental Group LLC

  • Dentist
  • Akron, OH
National Provider Identifier
1306120712
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SUMMIT DENTAL GROUP LLC
Practice address
1003 E. Turkeyfoot Lake Rd.
Suite a
Akron, OH 44312
Phone
(330) 896-1959
Fax
(330) 896-8944
NPI assigned
Oct 4, 2011
Last updated
May 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Thomas J. Birong, DDSNPI 1194737692
Title
Owner/ Dentist
Phone
(330) 627-5666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1003 E. Turkeyfoot Lake Rd.
Suite a
Akron, OH 44312

Mailing address

1003 E. Turkeyfoot Lake Rd.
Suite a
Akron, OH 44312
Phone (330) 896-1959

National Provider Directory

National Provider Directory

Locations

1003 E Turkeyfoot Lake Rd
Ste A
Green, OH 44312
Phone (330) 896-1959

767 E Turkeyfoot Lake Rd
Green, OH 44319
Phone (330) 896-1959

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1306120712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 E. TURKEYFOOT LAKE RD.",
            "address_2": "SUITE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44312",
            "telephone_number": "330-896-1959",
            "fax_number": "330-896-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E. TURKEYFOOT LAKE RD.",
            "address_2": "SUITE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44312",
            "telephone_number": "330-896-1959",
            "fax_number": "330-896-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "BIRONG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "330-627-5666",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.