Ohio Kids Dental Youngstown - Roberts DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OHIO KIDS DENTAL YOUNGSTOWN - ROBERTS DMD, LLC

Doing business as

Ohio Kids Dental - Girard

Practice address

713 N State St
Girard, OH 44420-1750

Phone

(480) 866-8811

NPI assigned

May 28, 2024

Organization subpart

No

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

Authorized official

Name

Teresa Zwicky

Title

Credentialing Manager

Phone

(480) 866-8811

Specialties & licenses 1

Addresses

Other names 1

• Ohio Kids Dental - Girard Doing business as

Locations

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1376383588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 N STATE ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201750",
            "telephone_number": "480-866-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N STATE ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201750",
            "telephone_number": "480-866-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO KIDS DENTAL YOUNGSTOWN - ROBERTS DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "ZWICKY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-866-8811"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio Kids Dental - Girard",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ohio Kids Dental - Girard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Girard, OH
• Providers in Girard, 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 Aug 4, 2025; 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.