Cedar Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.024806 Issued in OH

Legal business name

CEDAR FAMILY DENTAL

Practice address

1717 Cleveland Ave NW
Canton, OH 44703-1213

Phone

(330) 453-8855

Fax

(330) 453-8876

NPI assigned

Jan 27, 2017

Organization subpart

No

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

Authorized official

Name

Victoria Braswell

Title

Office Manager

Phone

(330) 453-8855

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1396282364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447031213",
            "telephone_number": "330-453-8855",
            "fax_number": "330-453-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447031213",
            "telephone_number": "330-453-8855",
            "fax_number": "330-453-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "BRASWELL",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-453-8855"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0199746",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine M. Fleisher, MD, Inc.
• Catherine A Catlett, ATC
• Brittney Cayton, CNP
• Robert A Cazzolli
• Mark L Cecil, M.D.
• Meagan O'Haire Celmer, M.D.
• Center for Advanced Periodontal & Implant Care, Inc.
• Center for Holistic Medicine,LLC (Holistic Family Chiropractic)
• Center for Mind Brain & Behavioral Medicine,Inc
• Jacquiline Cephas, RBT

• General Practice Dentistry in Canton, OH
• Providers in Canton, 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 Jan 27, 2017; 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.