Dever Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

30-022401 Issued in OH

Legal business name

DEVER DENTAL LLC

Practice address

9144 Cincinnati Columbus Rd
West Chester, OH 45069-3702

Phone

(513) 777-6444

NPI assigned

Dec 10, 2009

Last updated

Dec 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Martha Gerdsen Dever, DDSNPI 1205967155

Title

President

Phone

(513) 777-6444

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Martha Gerdsen Dever, DDS

  • General Practice Dentistry
  • West Chester, OH
  • NPI 1205967155
  Authorized official Same address or phone
• Shamira T Maley

  • Dental Hygienist
  • West Chester, OH
  • NPI 1417748344
  NPD (past)

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1699004218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9144 CINCINNATI COLUMBUS RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693702",
            "telephone_number": "513-777-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9144 CINCINNATI COLUMBUS RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693702",
            "telephone_number": "513-777-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "DEVER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "GERDSEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-777-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30-022401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology & Skin Care Associates
• Courtney Destifanes
• Kyle Edward Detavernier, DDS
• Anne Deters, P.T
• Richard Deutch, O.D.
• Martha Gerdsen Dever, DDS
• Hailey Deyhle, ARNP
• Mohammad Diab, MD
• Ola Diab
• Amanda Diacont

• Dental Clinic/Center in West Chester, OH
• Providers in West Chester, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.