NPIMap

Organization Active NPI

Sylvania Pediatric Dental Care, Inc.

  • Pediatric Dentistry
  • Sylvania, OH
National Provider Identifier
1720004732
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SYLVANIA PEDIATRIC DENTAL CARE, INC.
Practice address
5860 Alexis Rd
Sylvania, OH 43560-2347
Phone
(419) 882-7187
Fax
(419) 882-3165
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Joe F Inman, D.D.S.NPI 1003907270
Title
President
Phone
(419) 882-7187

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5860 Alexis Rd
Sylvania, OH 43560-2347

Mailing address

5860 Alexis Rd
Sylvania, OH 43560-2347
Phone (419) 882-7187

National Provider Directory

National Provider Directory

Locations

5860 Alexis Rd
Sylvania, OH 43560
Phone (419) 882-7187

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1720004732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 ALEXIS RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602347",
            "telephone_number": "419-882-7187",
            "fax_number": "419-882-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 ALEXIS RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602347",
            "telephone_number": "419-882-7187",
            "fax_number": "419-882-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVANIA PEDIATRIC DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "INMAN",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-882-7187",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.