Summit Community Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUMMIT COMMUNITY DENTAL

Practice address

119 East St
Liberty Center, OH 43532-9321

Phone

(567) 400-2024

NPI assigned

Jan 13, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Cortney Schaefer

Title

Secretary, Board of Directors

Phone

(567) 202-1221

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1639883622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 EAST ST",
            "city": "LIBERTY CENTER",
            "state": "OH",
            "postal_code": "435329321",
            "telephone_number": "567-400-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 EAST ST",
            "city": "LIBERTY CENTER",
            "state": "OH",
            "postal_code": "435329321",
            "telephone_number": "567-400-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT COMMUNITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "CORTNEY",
        "authorized_official_title_or_position": "SECRETARY, BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "567-202-1221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Shiell Bustos
• Diane E Spiess
• Brandon Steele
• Julie Steinhardt, ED.S.
• Haden Sullivan
• Penny Taylor, RN
• Qualita Taylor
• Kelly K Thompson
• Township of Liberty Trustees (Liberty Washington Township Fire)
• Stephanie Tyson, M.A., CCC-SLP

• General Practice Dentistry in Liberty Center, OH
• Providers in Liberty Center, 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 Jan 13, 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.