Active NPI
Emergency Dentist LLC
- General Practice Dentistry
- Medina, OH
National Provider Identifier
1750100616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- EMERGENCY DENTIST LLC
- Practice address
- 1543 Medina Rd
Medina, OH 44256-9622 - Phone
- (330) 727-0520
- NPI assigned
- Oct 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brenton Michael Sedon, DDS
- Title
- Owner
- Phone
- (330) 417-9771
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1543 Medina Rd
Medina, OH 44256-9622
Mailing address
1543 Medina Rd
Medina, OH 44256-9622
Phone (330) 727-0520
Other practice location 1
5014 Grande Shops Ave
Medina, OH 44256-6786
Phone (330) 727-0520
National Provider Directory
National Provider DirectoryLocations
1543 Medina Rd
Medina, OH 44256
Phone (330) 727-0520
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Medina, OH
- NPI 1669784583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728345600000",
"number": "1750100616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1543 MEDINA RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442569622",
"telephone_number": "330-727-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1543 MEDINA RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442569622",
"telephone_number": "330-727-0520"
}
],
"practiceLocations": [
{
"address_1": "5014 Grande Shops Ave",
"address_purpose": "LOCATION",
"city": "Medina",
"state": "OH",
"postal_code": "442566786",
"country_code": "US",
"telephone_number": "330-727-0520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EMERGENCY DENTIST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A",
"authorized_official_last_name": "SEDON",
"authorized_official_first_name": "BRENTON",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-417-9771",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.