Organization Active NPI

MV Premier Smile Dental LLC

  • General Practice Dentistry
  • Marysville, OH
National Provider Identifier
1336881028
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MV PREMIER SMILE DENTAL LLC
Practice address
17791 State Route 31
Marysville, OH 43040-9607
Phone
(937) 578-0014
Fax
(937) 999-3932
NPI assigned
Apr 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Dr. Jihad Saliba, DDS
Title
Dentist
Phone
(937) 578-0014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

17791 State Route 31
Marysville, OH 43040-9607

Mailing address

17791 State Route 31
Marysville, OH 43040-9607
Phone (937) 578-0014

National Provider Directory

National Provider Directory

Locations

17791 State Route 31
Marysville, OH 43040
Phone (937) 578-0014

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1336881028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17791 STATE ROUTE 31",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430409607",
            "telephone_number": "937-578-0014",
            "fax_number": "937-999-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17791 STATE ROUTE 31",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430409607",
            "telephone_number": "937-578-0014",
            "fax_number": "937-999-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MV PREMIER SMILE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "SALIBA",
        "authorized_official_first_name": "JIHAD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "937-578-0014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.