Wyoming Smile Center LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WYOMING SMILE CENTER LLC

Practice address

423 Worthington Ave
Cincinnati, OH 45215-4436

Phone

(513) 761-1900

NPI assigned

Dec 22, 2017

Last updated

Jul 20, 2022By 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

Opal Anderson

Title

Operations Manager

Phone

(513) 761-1900

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Sara Elizabeth Crouch, D.D.S.

  • General Practice Dentistry
  • Cincinnati, OH
  • NPI 1427079870
  NPD (past)
• David Scott Lipps, D.D.S.

  • General Practice Dentistry
  • Cincinnati, OH
  • NPI 1386665727
  NPD (past)

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1730695057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 WORTHINGTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452154436",
            "telephone_number": "513-761-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 WORTHINGTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452154436",
            "telephone_number": "513-761-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING SMILE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-22",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "513-761-1900"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@bestdentistincincinnati.com",
            "affiliation": "N",
            "address_1": "423 Worthington Ave",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452154436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tom M Wynn, RPH
• Tyler Matthew Wynn, DPT
• Thomas James Wynsen
• Wyoming Leasing Co, LLC (Ivy Woods Healthcare Center)
• Wyoming Pharmacy Inc (Compton Medical Pharmacy)
• John D Wyrick, M.D.
• Mark Eric Wyss, DDS
• Najah X
• Stavra A Xanthakos, M.D.
• Xceptional Home Health, LLC

• Dental Clinic/Center in Cincinnati, OH
• Providers in Cincinnati, 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 Jul 20, 2022; 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.