Organization Active NPI

Wakefield Dental of Dover LLC

  • Dental Clinic/Center
  • Dover, OH
National Provider Identifier
1669225884
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WAKEFIELD DENTAL OF DOVER LLC
Practice address
403 Monroe St
Dover, OH 44622-2042
Phone
(330) 343-2322
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Darcy Wakefield, DDS
Title
Owner
Phone
(740) 260-6737

Specialties & licenses 1

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

Addresses

Primary practice location

403 Monroe St
Dover, OH 44622-2042

Mailing address

66550 Stone Crest Dr
Cambridge, OH 43725-7802
Phone (740) 260-6737

National Provider Directory

National Provider Directory

Locations

403 Monroe St
Dover, OH 44622
Phone (330) 343-0442

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1669225884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66550 STONE CREST DR",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437257802",
            "telephone_number": "740-260-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MONROE ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222042",
            "telephone_number": "330-343-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEFIELD DENTAL OF DOVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "DARCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-260-6737",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.