Team DDS New Carlisle Dental Center LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TEAM DDS NEW CARLISLE DENTAL CENTER LLC

Practice address

203 E Lake Ave
New Carlisle, OH 45344-1420

Phone

(937) 580-8558

Fax

(937) 845-5973

NPI assigned

Mar 28, 2023

Organization subpart

No

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

Authorized official

Name

Emily A Leavell

Title

Operating Partner

Phone

(937) 580-8558

Specialties & licenses 1

Addresses

Other names 1

• TEAM DDS NEW CARLISLE Doing business as

Practitioners 1

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

• Lytha K Miller, D.D.S.

  • General Practice Dentistry
  • New Carlisle, OH
  • NPI 1285744755
  NPD

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1841994647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E LAKE AVE",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441420",
            "telephone_number": "937-580-8558",
            "fax_number": "937-845-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E LAKE AVE",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441420",
            "telephone_number": "937-580-8558",
            "fax_number": "937-845-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM DDS NEW CARLISLE DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "LEAVELL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPERATING PARTNER",
        "authorized_official_telephone_number": "937-580-8558"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEAM DDS NEW CARLISLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Stith, OTR/L
• Heather Renee Stringfield
• Richard David Tabar, RPH
• Yvette Elianna Tafolla
• Catherine Tapia
• Tecumseh Local School District
• The H.a.R.D. Acre Farm, LLC
• Melissa Ann Thomas
• Wendy Lee Thurman, OD
• Kristen Timperman, PHARMD

• Dental Clinic/Center in New Carlisle, OH
• Providers in New Carlisle, 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 Mar 28, 2023; 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.