Ghazarian Dental Clinic

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

17656 Issued in OH

Legal business name

GHAZARIAN DENTAL CLINIC

Practice address

130 S Market St
Wooster, OH 44691-4839

Phone

(330) 264-9678

Fax

(330) 264-0890

NPI assigned

Jan 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Krikor P. Ghazarian, D.D.S.NPI 1104828680

Title

Owner

Phone

(330) 264-9678

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• K. Ghazarian DDS & Associates Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krikor P. Ghazarian, D.D.S.

  • General Practice Dentistry
  • Wooster, OH
  • NPI 1104828680
  NPD (past) Authorized official

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811043136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MARKET ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914839",
            "telephone_number": "330-264-9678",
            "fax_number": "330-264-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MARKET ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914839",
            "telephone_number": "330-264-9678",
            "fax_number": "330-264-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHAZARIAN DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHAZARIAN",
        "authorized_official_first_name": "KRIKOR",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-264-9678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "17656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2480257",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K. Ghazarian DDS & Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelly Jo Gerber
• Melanie Louise Gerber
• Tara R. Gerber, MSW, LSW
• James W Gesler, M.D.
• Anna Kathryn Gest, MS, RDN, LD
• Krikor P. Ghazarian, D.D.S.
• Teresa Ghazoul, M.D.
• Angela Marie Gianotto, LMT
• Jasmine Giauque
• Charles F Gibson, PHD

• Dental Clinic/Center in Wooster, OH
• Providers in Wooster, 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 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.