NPIMap

Organization Active NPI

Maclean & Jungdahl, DMD, Inc

  • Public Health Dentistry
  • Middletown, OH
National Provider Identifier
1467797134
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
20757 Issued in OH
Legal business name
MACLEAN & JUNGDAHL, DMD, INC
Practice address
1035 Summitt Dr
Middletown, OH 45042-3464
Phone
(513) 424-5339
Fax
(513) 422-1646
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Douglas C Maclean, DMDNPI 1538229109
Title
Secretary Treasurer
Phone
(513) 424-5339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X 20757 OH Primary

Addresses

Primary practice location

1035 Summitt Dr
Middletown, OH 45042-3464

Mailing address

1035 Summitt Dr
Middletown, OH 45042-3464
Phone (513) 424-5339

National Provider Directory

National Provider Directory

Locations

1035 Summit Dr
Middletown, OH 45042
Phone (513) 424-5339

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1467797134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SUMMITT DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-424-5339",
            "fax_number": "513-422-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SUMMITT DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-424-5339",
            "fax_number": "513-422-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACLEAN & JUNGDAHL, DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "MACLEAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "513-424-5339",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "OH",
            "license": "20757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.