DMG - Dayton RJ Caputo DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-022642 Issued in OH

Legal business name

DMG - DAYTON RJ CAPUTO DMD, LLC

Practice address

2700 Miamisburg Centerville Rd
Dayton, OH 45459-3738

Phone

(937) 433-1494

Fax

(937) 433-7763

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Russell J Caputo, DMD

Title

Owner

Phone

(412) 366-8745

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1689859357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 MCKNIGHT RD",
            "address_2": "SUITE 206",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373420",
            "telephone_number": "412-366-8745",
            "fax_number": "412-366-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MIAMISBURG CENTERVILLE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593738",
            "telephone_number": "937-433-1494",
            "fax_number": "937-433-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMG - DAYTON RJ CAPUTO DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "CAPUTO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-366-8745",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Dayton, OH
• Providers in Dayton, 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 Dec 31, 2007; 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.