River Valley Dental, Gary L. Warren D.D.S, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

RIVER VALLEY DENTAL, GARY L. WARREN D.D.S, LLC

Practice address

1579 Tiki LN
Lancaster, OH 43130-8729

Phone

(614) 878-9562

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Garry Warren

Title

DDS

Phone

(614) 878-9562

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598895088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 TIKI LN",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308729",
            "telephone_number": "614-878-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 TIKI LN",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308729",
            "telephone_number": "614-878-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY DENTAL, GARY L. WARREN D.D.S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "614-878-9562"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Dentist 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.