Slate Run Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

30.023434 Issued in OH

Legal business name

SLATE RUN DENTAL

Practice address

11965 Lithopolis Rd NW
Canal Winchester, OH 43110-8958

Phone

(614) 837-3211

NPI assigned

Jul 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David Dalton Daniel, D.M.D.

Title

President

Phone

(614) 837-3211

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Donald R Sutton, D.D.S.

  • General Practice Dentistry
  • Canal Winchester, OH
  • NPI 1013900109
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1841676996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11965 LITHOPOLIS RD NW",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108958",
            "telephone_number": "614-837-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11965 LITHOPOLIS RD NW",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108958",
            "telephone_number": "614-837-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLATE RUN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DALTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-837-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30.023434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assanatu Fanta Sidibay
• Sakura Jessica Sip
• Elizabeth Ann Sipes, LPN
• Heather Sisler, RPH
• Sky Is the Limit Services LLC
• Kevin Patrick Smidt, MD
• Adam Clay Smith
• Emmaline J Smith
• Jennifer Smith
• Rick Smith, PTA

• Dental Clinic/Center in Canal Winchester, OH
• Providers in Canal Winchester, 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 Jul 30, 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.