Jeffrey R Jaick and Steven J Vorholt DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.023954 Issued in OH

Legal business name

JEFFREY R JAICK AND STEVEN J VORHOLT DDS LLC

Doing business as

Main Street Dental of New Albany

Practice address

153 W Main St
Suite 101
New Albany, OH 43054-9224

Phone

(614) 741-7031

NPI assigned

Aug 13, 2015

Organization subpart

No

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

Authorized official

Name

Steven Vorholt, DDS

Title

Partner

Phone

(614) 741-7031

Specialties & licenses 1

Addresses

Other names 1

• Main Street Dental of New Albany Doing business as

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1831565878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 W MAIN ST",
            "address_2": "SUITE 101",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549224",
            "telephone_number": "614-741-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W MAIN ST",
            "address_2": "SUITE 101",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549224",
            "telephone_number": "614-741-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R JAICK AND STEVEN J VORHOLT DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "VORHOLT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "614-741-7031",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Dental of New Albany",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benita Marie Jackson, MD
• Jeffrey Russell Jaicks, D.D.S.
• John Bradley Jalovec, MD
• Shyann Jamison, LPN
• Jason C Stoner DDS Ms LLC
• Derrick E. Johnson, MD
• John A Johnson, M.D., MBA
• John William Johnson, DDS
• Kristi Voss Johnston, PT
• Joint Implant Surgeons, Inc.

• General Practice Dentistry in New Albany, OH
• Providers in New Albany, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.