Bethesda Dental Center,Mirfendereski, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-021794 Issued in OH

Legal business name

BETHESDA DENTAL CENTER,MIRFENDERESKI, LLC

Practice address

830 Bethesda Dr
Zanesville, OH 43701-1895

Phone

(740) 454-9961

Fax

(740) 454-1670

NPI assigned

Jun 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sean Mirfendereski, DDS

Title

Owner

Phone

(740) 454-9961

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1477814697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011895",
            "telephone_number": "740-454-9961",
            "fax_number": "740-454-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011895",
            "telephone_number": "740-454-9961",
            "fax_number": "740-454-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA DENTAL CENTER,MIRFENDERESKI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "MIRFENDERESKI",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-454-9961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-021794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2657638",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0199968",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lee Berry
• Sandra Lynn Berry
• Brian R Best, DDS
• Bethesda Caregivers
• Bethesda Caregivers
• Frankie R Bhandari, BA,CDCA,QMHS
• Shaun M.Z. Bhatty, MD
• Cindy Sue Biolcati Rinaldi
• Ruth Anne Birchfield, LPN
• Kelly Bires

• General Practice Dentistry in Zanesville, OH
• Providers in Zanesville, 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 Jun 5, 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.