Organization Active NPI

Trenton Dental Associates - Bryan T. Tervo, DDS, LLC

  • Dental Clinic/Center
  • Trenton, OH
National Provider Identifier
1871783100
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30-021010 Issued in OH
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

Updated by the provider on Aug 1, 2007

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.