Tri-County Dental Center, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TRI-COUNTY DENTAL CENTER, LLC

Practice address

521 Summit St
Fostoria, OH 44830-1527

Phone

(419) 435-3255

Fax

(419) 435-2283

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Derik E. Utz, D.D.S.NPI 1134191349

Title

Owner

Phone

(419) 435-3255

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derik Edward Utz, D.D.S., LLC

  • General Practice Dentistry
  • Fostoria, OH
  • NPI 1134191349
  NPD (past) Authorized official
• Thomas C Guernsey, D.D.S.

  • General Practice Dentistry
  • Fostoria, OH
  • NPI 1407865512
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1922043520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 SUMMIT ST",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448301527",
            "telephone_number": "419-435-3255",
            "fax_number": "419-435-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 SUMMIT ST",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "448301527",
            "telephone_number": "419-435-3255",
            "fax_number": "419-435-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "UTZ",
        "authorized_official_first_name": "DERIK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-435-3255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Kroger Co (Kroger Pharmacy)
• Pramuan Thirasilpa, MD
• Thomas W Meade OD LLC
• Stephanie Lynn Tiell, DNP, PMHNP-C FNP-C
• Carmella Marie Tisci, MA CCC-SLP
• Tri-County Foot and Ankle Center Inc (Timothy D. Kistler, DPM)
• Amber Tyler
• Cynthia Lee Ulrich, ARNP
• Derik Edward Utz, D.D.S., LLC
• Cynthia Ann Vega, OT/L

• General Practice Dentistry in Fostoria, OH
• Providers in Fostoria, 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 Dec 31, 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.