Middletown Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-019191 Issued in OH

Legal business name

MIDDLETOWN DENTAL GROUP

Practice address

2402 Central Ave.
Middletown, OH 45042-4692

Phone

(513) 423-0779

Fax

(513) 423-7731

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

James Puccio, DDSNPI 1407995582

Title

Owner

Phone

(513) 423-0779

Specialties & licenses 1

Addresses

Practitioners 2

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

• James C Puccio, DDS

  • General Practice Dentistry
  • Middletown, OH
  • NPI 1407995582
  NPD (past) Authorized official
• Arshia Bahrani Myers, D.D.S.

  • General Practice Dentistry
  • Middletown, OH
  • NPI 1962682328
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487793469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 CENTRAL AVE.",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450424692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 CENTRAL AVE.",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450424692",
            "telephone_number": "513-423-0779",
            "fax_number": "513-423-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUCCIO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-423-0779",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-019191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Middletown Chiropractic and Rehabilitation Center
• Middletown City Health District
• Middletown Complete Health Center Inc
• Middletown Dental Associates
• Middletown Dental Excellence LLC
• Middletown Endoscopy ASC LLC
• Middletown Eyecare Inc
• Middletown Family Dental
• Middletown Hoslitic Outreach Center LLC
• Middletown Kettering and Cincinnati Dentists LLC

• General Practice Dentistry in Middletown, OH
• Providers in Middletown, 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 Aug 22, 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.