Organization Active NPI

Soller & Soller DDS Inc

  • Dentist
  • Youngstown, OH
National Provider Identifier
1508818170
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30017422 Issued in OH
Legal business name
SOLLER & SOLLER DDS INC
Practice address
4401 Market St
Youngstown, OH 44512
Phone
(330) 782-8123
Fax
(330) 782-8124
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Brady Soller, DDS
Title
President
Phone
(330) 782-8123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30017422 OH Primary

Addresses

Primary practice location

4401 Market St
Youngstown, OH 44512

Mailing address

4401 Market St
Youngstown, OH 44512
Phone (330) 782-8123

National Provider Directory

National Provider Directory

Locations

4401 Market St
Youngstown, OH 44512
Phone (330) 333-3339

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508818170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-782-8123",
            "fax_number": "330-782-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-782-8123",
            "fax_number": "330-782-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLLER & SOLLER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "BRADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-782-8123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30017422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • 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.