Laith A. Sawalha, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

022085 Issued in OH

Practice address

716 S Prospect St
Marion, OH 43302-6278

Phone

(740) 387-5188

Fax

(740) 382-3464

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clayton Family Dental LLC

  • Dental Clinic/Center
  • Dayton, OH
  • NPI 1194522854
  NPD Authorized official
• Marion Family Dental

  • General Practice Dentistry
  • Marion, OH
  • NPI 1609041698
  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1720168693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 S PROSPECT ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026278",
            "telephone_number": "740-387-5188",
            "fax_number": "740-382-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S PROSPECT ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026278",
            "telephone_number": "740-387-5188",
            "fax_number": "740-382-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWALHA",
        "first_name": "LAITH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "022085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2669894",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Sallee, AT, ATC
• Samken Health Co.
• Sheena Marie Sanchez
• Alexus Sanders, LICDC, LSW
• Benjamin R Sanidad, MD
• Shannon Saylor, CDCA
• Janel S Scarbrough, PA-C
• Bethany Schaner, MA, CCC-SLP
• Emily Schaub, LISW
• Andrea Schilling, CDCA

• General Practice Dentistry in Marion, OH
• Providers in Marion, 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 Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.