Organization Active NPI

Deol Dental Kenton LLC

  • Dentist
  • Kenton, OH
National Provider Identifier
1689403941
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DEOL DENTAL KENTON LLC
Practice address
965 E Columbus St
Kenton, OH 43326-1650
Phone
(248) 657-0065
NPI assigned
Jul 26, 2024
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Dr. Herman Deol, DDSNPI 1770152480
Title
Owner
Phone
(248) 657-0065

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

965 E Columbus St
Kenton, OH 43326-1650

Mailing address

965 E Columbus St
Kenton, OH 43326-1650
Phone (248) 657-0065

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1689403941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 E COLUMBUS ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433261650",
            "telephone_number": "248-657-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 E COLUMBUS ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433261650",
            "telephone_number": "248-657-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEOL DENTAL KENTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "DEOL",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-657-0065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.