Active NPI
Trenton Dental Associates - Bryan T. Tervo, DDS, LLC
- Dental Clinic/Center
- Trenton, OH
National Provider Identifier
1871783100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 30-021010
- Legal business name
- TRENTON DENTAL ASSOCIATES - BRYAN T. TERVO, DDS, LLC
- Practice address
- 122 E State St
Trenton, OH 45067-1528 - Phone
- (513) 988-6316
- NPI assigned
- Aug 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bryan T. Tervo, D.D.S.
- Title
- Owner
- Phone
- (513) 988-6316
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 30-021010 | OH | Primary |
Addresses
Primary practice location
122 E State St
Trenton, OH 45067-1528
Mailing address
122 E State St
Trenton, OH 45067-1528
Phone (513) 988-6316
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185926400000",
"number": "1871783100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E STATE ST",
"city": "TRENTON",
"state": "OH",
"postal_code": "450671528",
"telephone_number": "513-988-6316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E STATE ST",
"city": "TRENTON",
"state": "OH",
"postal_code": "450671528",
"telephone_number": "513-988-6316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRENTON DENTAL ASSOCIATES - BRYAN T. TERVO, DDS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-01",
"last_updated": "2007-08-01",
"status": "A",
"authorized_official_last_name": "TERVO",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "513-988-6316",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "OH",
"license": "30-021010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.