Dentkos Endodontics, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

3002020607 Issued in OH

Legal business name

DENTKOS ENDODONTICS, LLC

Practice address

16626 Pearl Rd
Strongsville, OH 44136

Phone

(330) 419-0044

NPI assigned

Aug 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Terence Robert Dentkos, DDS, MS

Title

Sole Member

Phone

(330) 419-0044

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1851640445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16626 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "44136",
            "telephone_number": "330-419-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16626 PEARL RD",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "44136",
            "telephone_number": "330-419-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTKOS ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "DENTKOS",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "330-419-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "OH",
            "license": "3002020607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1912164088",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Michelle Decarlo, FNP
• Cheri Defranco, LPTA
• Clara M Degabriele
• Katherine Mary Deliman, OTR/L
• Dental Sleep Apnea Therapy Strongsville LLC
• Lisa Marie Deranek, M.D.
• Margarita Diaz, RN
• Helen M Dillon
• Discount Drug Mart Inc
• Discount Drug Mart Inc

• Endodontics in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Endodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.