Ohio Kids Dental Springfield - Roberts DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OHIO KIDS DENTAL SPRINGFIELD - ROBERTS DMD LLC

Doing business as

Ohio Kids Dental - Springfield

Practice address

1416 W 1St St
Springfield, OH 45504-1923

Phone

(326) 697-8442

Fax

(937) 704-2236

NPI assigned

May 1, 2025

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

Cred MGR

Phone

(480) 866-8811

Specialties & licenses 1

Addresses

Other names 1

• Ohio Kids Dental - Springfield Doing business as

Locations

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1386433936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 W 1ST ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041923",
            "telephone_number": "326-697-8442",
            "fax_number": "937-704-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 W 1ST ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041923",
            "telephone_number": "326-697-8442",
            "fax_number": "937-704-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO KIDS DENTAL SPRINGFIELD - ROBERTS DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "ZWICKY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CRED MGR",
        "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 - Springfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ohio Valley Medical Group, LLC (Ohio Valley Ear, Nose & Throat)

• General Practice Dentistry in Springfield, OH
• Providers in Springfield, 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 20, 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.