Portage Dental Group, Jeffrey S. Rosenthal D.D.S., Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PORTAGE DENTAL GROUP, JEFFREY S. ROSENTHAL D.D.S., INC.

Practice address

644 S Chestnut St
Ravenna, OH 44266-3035

Phone

(330) 297-7009

NPI assigned

Jun 24, 2020

Last updated

Nov 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey S. Rosenthal, DDS

Title

Owner

Phone

(216) 905-8454

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1518583608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 S CHESTNUT ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663035",
            "telephone_number": "330-297-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 S CHESTNUT ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663035",
            "telephone_number": "330-297-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE DENTAL GROUP, JEFFREY S. ROSENTHAL D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-905-8454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portage County Children's Services Center (Children's Advantage)
• Portage County Combined General Health District
• Portage County Educational Service Center
• Portage County Esc
• Portage Dental Center
• Portage Foot Health, Inc.
• Portage Industries, Inc.
• Portage Pathology Associates, Inc
• Portage Physical Therapists ,Inc (Allied Health Rehab Center)
• Portage Physicians Endoscopy Inc

• Dental Clinic/Center in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.