NPIMap

Organization Active NPI

Canton Pediatric Dental Center, LLC

Doing business as Wooster Pediatric Dental Center

  • Dental Clinic/Center
  • Wooster, OH
National Provider Identifier
1588069587
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
21981 Issued in OH
Legal business name
CANTON PEDIATRIC DENTAL CENTER, LLC
Doing business as
Wooster Pediatric Dental Center
Practice address
3582 Cleveland Rd
Wooster, OH 44691-1216
Phone
(330) 601-1543
NPI assigned
Nov 3, 2014
Last updated
Nov 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Dr. Safuratu Aranmolate, DDSNPI 1104816016
Title
Pediatric Dentist/Owner
Phone
(330) 601-1543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 21981 OH Primary

Addresses

Primary practice location

3582 Cleveland Rd
Wooster, OH 44691-1216

Mailing address

3582 Cleveland Rd
Wooster, OH 44691-1216
Phone (330) 601-1543

Other names 1

  • Wooster Pediatric Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Canton Pediatric Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3582 Cleveland Rd
Wooster, OH 44691
Phone (330) 601-1543

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1588069587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3582 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911216",
            "telephone_number": "330-601-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3582 CLEVELAND RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911216",
            "telephone_number": "330-601-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON PEDIATRIC DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "ARANMOLATE",
        "authorized_official_first_name": "SAFURATU",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "330-601-1543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "21981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wooster Pediatric Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.