Meckler Dental Providers, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MECKLER DENTAL PROVIDERS, INC.

Doing business as

DentalWorks of Brunswick

Practice address

3455 Center Rd
Brunswick, OH 44212-3688

Phone

(216) 584-1074

Fax

(216) 584-1074

NPI assigned

Aug 4, 2017

Last updated

Jun 16, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

DENTALONE PARTNERS, INCAs reported in NPPES

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

Authorized official

Name

Lauren Hill

Title

Director, RCM

Phone

(972) 930-7707

Specialties & licenses 6

Addresses

Other names 1

• DentalWorks of Brunswick Doing business as

Tax ID family

Dentalworks of Bainbridge3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Meckler Dental Providers, Inc.

  dba DentalWorks of Portage Crossing

  • General Practice Dentistry
  • Cuyahoga Falls, OH
  • NPI 1215451299
  NPD tax ID
• Meckler Dental Providers, Inc.

  dba DentalWorks of Bainbridge

  • General Practice Dentistry
  • Aurora, OH
  • NPI 1437342755
  NPD tax ID

Locations

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1942725551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 PINECREST DR STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 CENTER RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123688",
            "telephone_number": "216-584-1074",
            "fax_number": "216-584-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLER DENTAL PROVIDERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTALONE PARTNERS, INC",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "DIRECTOR, RCM",
        "authorized_official_telephone_number": "972-930-7707"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DentalWorks of Brunswick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurel Ann McCourt, M.D.
• Devin Scott McCue
• Molly McDermott
• Hannah McDonald
• Mark H Meacham, MD
• Medina Hospital (Brunswick Urgent Care Center)
• Ami Mehta, PHARMD
• Meijer Stores Limited Partnership (Meijer Pharmacy #323)
• Beshoy Mekhael, PHARMD
• Elizabeth Melville

• General Practice Dentistry in Brunswick, OH
• Providers in Brunswick, 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 Jun 16, 2022; 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.