Deldog Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DELDOG DENTAL GROUP

Doing business as

Cedar Dental

Practice address

6535 Market Ave N Ste 105
Canton, OH 44721-2487

Phone

(330) 433-0333

NPI assigned

Aug 23, 2024

Last updated

Aug 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Eberhardt, DDS

Title

Owner

Phone

(330) 606-4861

Specialties & licenses 1

Addresses

Other names 1

• Cedar 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, and the practitioner matching its NPPES authorized official.

• Chris P. Matinides, D.D.S.

  • General Practice Dentistry
  • N Canton, OH
  • NPI 1407801954
  NPD (past)

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1952134090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6024 MCCLELLAND CT",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818064",
            "telephone_number": "330-606-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 MARKET AVE N STE 105",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212487",
            "telephone_number": "330-433-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELDOG DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "EBERHARDT",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-606-4861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Jane Deibel, M.ED. LPCC
• Thomas Deiotte, LPCC
• Samuel Del Valle, CT
• Trinity Christine Delade
• Joseph Kevin Delagrange, MSSA, LISW
• Michelle Denise Dellick
• Anthony Louis Deluca Jr., PHARMD
• Jaime Demarco, FNP-C
• Cameron Parker Demarsh, DDS
• Ariel Demetro, PT, DPT, MS

• General Practice Dentistry in Canton, OH
• Providers in Canton, 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 Aug 23, 2024; 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.