Active NPI
Testerman & Testerman Dental Partnership
- Dentist
- Lebanon, OH
National Provider Identifier
1407964927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21774
- Legal business name
- TESTERMAN & TESTERMAN DENTAL PARTNERSHIP
- Practice address
- 767 Columbus Avenue
Lebanon, OH 45036 - Phone
- (513) 932-4806
- Fax
- (513) 932-4274
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregg L Testerman, DDS
- Title
- President
- Phone
- (513) 932-4806
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15220 | OH | |
| Dentist | 122300000X | 21774 | OH | Primary |
Addresses
Primary practice location
767 Columbus Avenue
Lebanon, OH 45036
Mailing address
767 Columbus Avenue
Lebanon, OH 45036
Phone (513) 932-4806
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412035200000",
"number": "1407964927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 COLUMBUS AVENUE",
"city": "LEBANON",
"state": "OH",
"postal_code": "45036",
"telephone_number": "513-932-4806",
"fax_number": "513-932-4274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 COLUMBUS AVENUE",
"city": "LEBANON",
"state": "OH",
"postal_code": "45036",
"telephone_number": "513-932-4806",
"fax_number": "513-932-4274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TESTERMAN & TESTERMAN DENTAL PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2014-09-30",
"status": "A",
"authorized_official_last_name": "TESTERMAN",
"authorized_official_first_name": "GREGG",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-932-4806",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "OH",
"license": "15220",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "OH",
"license": "21774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.