Gentle Caring Dentistry of Fremont Ohio

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30023596 Issued in OH

Legal business name

GENTLE CARING DENTISTRY OF FREMONT OHIO

Practice address

2430 Enterprise St
Fremont, OH 43420

Phone

(419) 332-1303

Fax

(419) 332-0805

NPI assigned

Feb 12, 2016

Organization subpart

No

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

Authorized official

Name

Renee Bowman

Title

Office Manager

Phone

(419) 332-1303

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1699134015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 ENTERPRISE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "43420",
            "telephone_number": "419-332-1303",
            "fax_number": "419-332-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 ENTERPRISE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "43420",
            "telephone_number": "419-332-1303",
            "fax_number": "419-332-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE CARING DENTISTRY OF FREMONT OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-332-1303"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30023596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Galloway
• Judy Gamble
• Robert P Gamble, MA
• Frederick J Garcia, PT
• Athony Gardner
• Kimberly Ellen George
• Jodi Ann Gladieux, LPN
• Jamie Gnagy
• Lora Jean Goebel, SLP
• Michaelle Ann Goodman

• General Practice Dentistry in Fremont, OH
• Providers in Fremont, 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 Sep 20, 2018; 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.