Organization Active NPI

Spring Valley Dental Inc.

  • Dentist
  • Holland, OH
National Provider Identifier
1790830743
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21182 Issued in OH
Legal business name
SPRING VALLEY DENTAL INC.
Practice address
1359 S Holland Sylvania Rd
Holland, OH 43528-8423
Phone
(419) 865-4441
Fax
(419) 865-9032
NPI assigned
Jan 23, 2007
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. Sam Oh, DMD
Title
President
Phone
(419) 865-4441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 21182 OH Primary

Addresses

Primary practice location

1359 S Holland Sylvania Rd
Holland, OH 43528-8423

Mailing address

1359 S Holland Sylvania Rd
Holland, OH 43528-8423
Phone (419) 865-4441

Other names 1

  • Sam Oh DMD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790830743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 S HOLLAND SYLVANIA RD",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288423",
            "telephone_number": "419-865-4441",
            "fax_number": "419-865-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 S HOLLAND SYLVANIA RD",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435288423",
            "telephone_number": "419-865-4441",
            "fax_number": "419-865-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING VALLEY DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-865-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "21182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sam Oh DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Holland, 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.