Madison Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30018002 Issued in OH

Legal business name

MADISON DENTAL ASSOCIATES

Practice address

6248 N Ridge Rd
Madison, OH 44057-2567

Phone

(440) 428-1101

Fax

(440) 428-6985

NPI assigned

Jun 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Daniel Zgodinski, D.D.S.NPI 1184632010

Title

President/Owner

Phone

(440) 428-1101

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Gerald Daniel Zgodinski, DDS

  • Dentist
  • Madison, OH
  • NPI 1184632010
  NPD (past) Authorized official

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1851551147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6248 N RIDGE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572567",
            "telephone_number": "440-428-1101",
            "fax_number": "440-428-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6248 N RIDGE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572567",
            "telephone_number": "440-428-1101",
            "fax_number": "440-428-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "ZGODINSKI",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "440-428-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30018002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0753788",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Locke
• Elena Logan, MS, RDN, LD
• Brittany Rae Loomis, APRN
• Brian Moses Loxterman
• Madison Care Center Inc (Broadfield Care Center)
• Madison Fire District
• Madison Local School District
• Madison Village Manor
• Madison Village Manor, Inc (The Gables)
• Chenguttai Manohar, MD

• General Practice Dentistry in Madison, OH
• Providers in Madison, 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 Jun 11, 2008; 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.