Organization Active NPI

Dwaine E. Valentine, D.D.S., Inc.

  • Dentist
  • Brookville, OH
National Provider Identifier
1760509798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14992 Issued in OH
Legal business name
DWAINE E. VALENTINE, D.D.S., INC.
Practice address
460 Rona Pkwy
Brookville, OH 45309-1118
Phone
(937) 833-4411
Fax
(937) 833-2473
NPI assigned
Mar 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dwaine E Valentine, D,D,S,NPI 1780670307
Title
President
Phone
(937) 833-4411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14992 OH Primary

Addresses

Primary practice location

460 Rona Pkwy
Brookville, OH 45309-1118

Mailing address

460 Rona Pkwy
P.O. Box 159
Brookville, OH 45309-1118
Phone (937) 833-4411

National Provider Directory

National Provider Directory

Locations

460 Rona Pkwy
Brookville, OH 45309
Phone (937) 833-4054

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760509798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 RONA PKWY",
            "address_2": "P.O. BOX 159",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453091118",
            "telephone_number": "937-833-4411",
            "fax_number": "937-833-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 RONA PKWY",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453091118",
            "telephone_number": "937-833-4411",
            "fax_number": "937-833-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWAINE E. VALENTINE, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "DWAINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-833-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,D,S,"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "14992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.