Dayton Dental Specialties

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

24125 Issued in OH

Legal business name

DAYTON DENTAL SPECIALTIES

Practice address

4235 Indian Ripple Rd
Suite 200a
Beavercreek, OH 45440-3284

Phone

(937) 802-0901

Fax

(937) 802-0950

NPI assigned

Jul 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sanjeev K Goel, DDS

Title

Owner

Phone

(513) 942-8181

Specialties & licenses 2

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rush Martin Davidson, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Chester, OH
  • NPI 1518198340
  NPD (past)
• Sheenu Goel, DDS

  • Endodontics
  • Dayton, OH
  • NPI 1417106345
  NPD (past)
• Sterling J Whipple, DDS

  • Endodontics
  • Dayton, OH
  • NPI 1013995745
  NPD (past)
• Qian Wang

  • Endodontics
  • Coppell, TX
  • NPI 1356865000
  NPD (past)

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1699182501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 INDIAN RIPPLE RD",
            "address_2": "SUITE 200A",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403284",
            "telephone_number": "937-802-0901",
            "fax_number": "937-802-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 INDIAN RIPPLE RD",
            "address_2": "SUITE 200A",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403284",
            "telephone_number": "937-802-0901",
            "fax_number": "937-802-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON DENTAL SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "GOEL",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-942-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "22979",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "24125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Nicole Davis, D.O.
• Richard P Davis, MD
• Stacey Davis, SLP
• Malika Day
• Dayton Cardiology Consult
• Dayton Osteopathic Hospital (Kettering Health Pharmacy Beavercreek)
• Dayton SNF Healthcare LLC (Beavercreek Post Acute)
• Dayton Therapy and Assessment Practice, LLC
• Victoria De Luca, RBT
• Charles H Dean, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.