Amlin Dental Team, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15629 Issued in OH

Legal business name

AMLIN DENTAL TEAM, LLC

Practice address

39 Dellsing Dr
Vandalia, OH 45377-1319

Phone

(937) 898-8798

Fax

(937) 898-1915

NPI assigned

Jul 2, 2009

Last updated

Jul 2, 2009By 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

Dr. David A Amlin, DDS

Title

Owner

Phone

(937) 898-8798

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1861621526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 DELLSING DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771319",
            "telephone_number": "937-898-8798",
            "fax_number": "937-898-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 DELLSING DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771319",
            "telephone_number": "937-898-8798",
            "fax_number": "937-898-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMLIN DENTAL TEAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "AMLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-898-8798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Vandalia, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.