David Hickey Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DAVID HICKEY DENTAL LLC

Practice address

7544 Dayton Springfield Rd
Fairborn, OH 45324-1902

Phone

(937) 864-2341

Fax

(937) 864-1997

NPI assigned

Oct 1, 2018

Organization subpart

No

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

Authorized official

Name

Karen Snider

Title

Office Manager

Phone

(937) 864-2341

Specialties & licenses 1

Addresses

Other names 1

• Mad River Family Dental Doing business as

Locations

Practitioners 1

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

• David C Hickey, DDS

  • General Practice Dentistry
  • Fairborn, OH
  • NPI 1326427501
  NPD

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584748800000",
    "number": "1922583426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "ENON",
            "state": "OH",
            "postal_code": "453230338",
            "telephone_number": "937-864-2341",
            "fax_number": "937-864-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7544 DAYTON SPRINGFIELD RD",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453241902",
            "telephone_number": "937-864-2341",
            "fax_number": "937-864-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID HICKEY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-864-2341"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mad River Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mad River Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Daniels
• Taunita Renee Daniels, MA
• Dapore Vision Care LLC
• Cynthia Darden
• Khristina Dare
• Amanda Lorraine Davila, QMHS
• Allison Davis
• Katlyn Davis
• Yvonne Davis
• Jacob Thomas Dean, M.D.

• Dental Clinic/Center in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; 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.