Declerck Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

30023435 Issued in OH

Legal business name

DECLERCK FAMILY DENTAL

Practice address

15840 Medical Dr S Ste C
Findlay, OH 45840-7833

Phone

(419) 422-8972

Fax

(419) 422-8973

NPI assigned

Dec 16, 2014

Last updated

Dec 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Parkins

Title

Office Manager

Phone

(419) 422-8972

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1851799399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15840 MEDICAL DR S STE C",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458407833",
            "telephone_number": "419-422-8972",
            "fax_number": "419-422-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15840 MEDICAL DR S STE C",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458407833",
            "telephone_number": "419-422-8972",
            "fax_number": "419-422-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECLERCK FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "PARKINS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-422-8972"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30023435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel M Dawley, MD
• Kaylean De la Rosa
• Cheryl Deamicis-Lentz, MRC
• James Decker, CDCA
• Sarah Elizabeth Decker, D.O.
• Meneely Degarmo
• Ashley E Deitering, PA-C
• Guy Dell
• Emily Margaret Delong, LSW
• Edgar Ray Delos Santos, M.D.

• Dentist in Findlay, OH
• Providers in Findlay, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.