Addison Stern, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.027524 Issued in OH

Practice address

257 W Granville St
Sunbury, OH 43074-9684

Phone

(740) 965-4090

NPI assigned

May 22, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anthony Dental Care

  • Dentist
  • Sunbury, OH
  • NPI 1669525069
  NPD (past)
• Anthony Dental Care of Centerburg, LLC

  • General Practice Dentistry
  • Centerburg, OH
  • NPI 1629796511
  NPD (past)
• McDuffee Lima Dentistry LLC

  • Dental Clinic/Center
  • Centerburg, OH
  • NPI 1548755333
  NPD (past)

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1477392041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 KESTREL WAY W",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430178255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 W GRANVILLE ST",
            "city": "SUNBURY",
            "state": "OH",
            "postal_code": "430749684",
            "telephone_number": "740-965-4090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3927 Columbus Rd",
            "address_purpose": "LOCATION",
            "city": "Centerburg",
            "state": "OH",
            "postal_code": "430119475",
            "country_code": "US",
            "telephone_number": "740-480-8162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERN",
        "first_name": "ADDISON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Kay Shryock, P.T.
• Alissa Shultz, MA, CCC-SLP
• Amanda Smith, FNP-BC
• Heather Michelle Sperry
• Riley Stalter
• Paxton Nicholas Stern, DDS
• Stone Lake Daycare Center LLC
• Kindra Stone-Thatcher
• Diane Sue Strait
• Mark Anthony Strait

• General Practice Dentistry in Sunbury, OH
• Providers in Sunbury, 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 May 22, 2024; 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.