Southern Ohio Mini Dental Implant Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUTHERN OHIO MINI DENTAL IMPLANT CENTER

Practice address

41 E South St
Jackson, OH 45640-1638

Phone

(740) 577-3230

NPI assigned

Jun 15, 2020

Last updated

Jun 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian K Morris, DMDNPI 1861544470

Title

Owner/Dentist

Phone

(740) 577-3230

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian K Morris, DMD

  • Dentist
  • Jackson, OH
  • NPI 1861544470
  NPD Authorized official

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1417572595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 E SOUTH ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401638",
            "telephone_number": "740-577-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E SOUTH ST",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401638",
            "telephone_number": "740-577-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OHIO MINI DENTAL IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "740-577-3230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neesha Smith, CNP
• James E Snyder, MS, FNP-BC
• Tabitha June Snyder, LPN
• Aruna Soni, M.D.
• Southern Ohio Emergency Physicians LLP
• Danyelle Speakman, LMT
• Douglas Spears, CDCA
• Josiah Spears
• Lindsay Speraw, LSW, QMHS
• Samantha Rae Stapleton

• Dental Clinic/Center in Jackson, OH
• Providers in Jackson, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.