Mr. Lookout Dentistry Benjamin T. Gosnell DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MR. LOOKOUT DENTISTRY BENJAMIN T. GOSNELL DMD LLC

Practice address

3197 Linwood Ave
Cincinnati, OH 45208-2962

Phone

(513) 871-2852

Fax

(513) 871-2853

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Robin L. Re

Title

Practice Manager

Phone

(513) 872-2852

Specialties & licenses 1

Addresses

Other names 1

• David N. Croop DDS Inc. Former legal business name

Locations

Practitioners 1

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

• Benjamin Gosnell, D.M.D

  • Dentist
  • Cincinnati, OH
  • NPI 1285898437
  NPD

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1861062382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3197 LINWOOD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082962",
            "telephone_number": "513-871-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3197 LINWOOD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082962",
            "telephone_number": "513-871-2852",
            "fax_number": "513-871-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR. LOOKOUT DENTISTRY BENJAMIN T. GOSNELL DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "RE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "513-872-2852"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David N. Croop DDS Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jessica Anne Moyer
• Melonie Joy Moyer, APRN
• Kristie C Moynahan, APRN
• Glynnis E Mozes
• Bizimana Mporwiki
• MRI Solutions
• Shanda I Mroz, LPCC, LICDC, NCC
• Jelinda Marie Mrozek
• Mt Auburn Obstetrics & Gynecologic Assoc Inc
• Mt Healthy City School District

• General Practice Dentistry in Cincinnati, OH
• Providers in Cincinnati, 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 28, 2021; 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.