Youngstown Smiles Youth Dentistry Llcmichael Crites DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YOUNGSTOWN SMILES YOUTH DENTISTRY LLCMICHAEL CRITES DDS

Practice address

3353 Mahoning Ave
Youngstown, OH 44509-2617

Phone

(330) 792-9600

Fax

(330) 792-9650

NPI assigned

Mar 5, 2007

Last updated

Jul 9, 2014By 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

Mrs. Jenell Stump

Title

Manager, L & C

Phone

(615) 750-0343

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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.

• Gajender Ahlawat, DDS

  • Dentist
  • Youngstown, OH
  • NPI 1891919973
  NPD (past)
• Craig Peter Tolnay I, DMD

  • General Practice Dentistry
  • Youngstown, OH
  • NPI 1831188192
  NPD (past)
• Jason Foster Larue

  • Dentist
  • Pittsburgh, PA
  • NPI 1972774339

  General Practice

  NPD (past)
• Joy Richardson

  • Pediatric Dentistry
  • Fairfield, CT
  • NPI 1245669407

  General Practice

  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1598894388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ARCADE UNIT 198747",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372191994",
            "telephone_number": "615-750-0343",
            "fax_number": "615-986-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 MAHONING AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445092617",
            "telephone_number": "330-792-9600",
            "fax_number": "330-792-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNGSTOWN SMILES YOUTH DENTISTRY LLCMICHAEL CRITES DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "STUMP",
        "authorized_official_first_name": "JENELL",
        "authorized_official_title_or_position": "MANAGER, L & C",
        "authorized_official_telephone_number": "615-750-0343",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019316940001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2712667",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Youngstown Regional Pet Scan LLC
• Youngstown State University
• Youngstown State University Student Health
• Youngstown Urban Minority Alcoholism and Drug Abuse Outreach Prog Inc
• Youngstown Urban Minority Alcoholism and Drug Abuse Outreach Program (Yumadaop)
• Youngstown-Warren Home Dialysis LLC

• General Practice Dentistry in Youngstown, OH
• Providers in Youngstown, 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 Jul 9, 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.