Dentist in Perrysburg LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTIST IN PERRYSBURG LLC

Practice address

110 E South Boundary St
Perrysburg, OH 43551-2527

Phone

(803) 233-6141

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Sreekanth Reddy Emani, DDS

Title

Manager

Phone

(917) 882-9613

Specialties & licenses 1

Addresses

Other names 1

• Dentist in Perrysburg Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1851025076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E SOUTH BOUNDARY ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512527",
            "telephone_number": "803-233-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SOUTH BOUNDARY ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512527",
            "telephone_number": "803-233-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST IN PERRYSBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "EMANI",
        "authorized_official_first_name": "SREEKANTH",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-882-9613",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "semani@todaysdentalsc.com",
            "affiliation": "N",
            "endpointDescription": "mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "110 E South Boundary St",
            "city": "Perrysburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435512527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dentist in Perrysburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentist in Perrysburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Perrysburg, OH
• Providers in Perrysburg, 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 Jan 20, 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.