Van Hala Dental Group LLC

Primary specialty

DentistTaxonomy code 122300000X

License

30022586 Issued in OH

Legal business name

VAN HALA DENTAL GROUP LLC

Practice address

1515 Portage St NW # 1
North Canton, OH 44720-2290

Phone

(330) 494-0646

NPI assigned

Jan 30, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Brent Addison Van Hala, DDS

Title

Dentist

Phone

(330) 494-0646

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.

• Jordyn Renee Hildebrand

  • Public Health Dentistry
  • North Canton, OH
  • NPI 1619459880
  NPD (past)

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1427556984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PORTAGE ST NW # 1",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202290",
            "telephone_number": "330-494-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PORTAGE ST NW # 1",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202290",
            "telephone_number": "330-494-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN HALA DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "VAN HALA",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ADDISON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "330-494-0646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30022586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maggey F Urban
• Jennifer Urti, COTA/L
• Michael Valentino, PA-C
• Sydney Van Meter
• Christine Vandee, COTA/L
• Kimberly A. Vandegrift, R.N.
• Elizabeth J Vandervoort, LPTA
• Erin E Vandrak, OTR/L

• Dentist in North Canton, OH
• Providers in North Canton, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.