Lima Community Dental-Risolvato, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

30021809 Issued in OH

Legal business name

LIMA COMMUNITY DENTAL-RISOLVATO, INC.

Practice address

2115 Allentown Rd
Lima, OH 45805-1749

Phone

(419) 228-4036

Fax

(419) 228-6273

NPI assigned

Sep 24, 2008

Organization subpart

Yes

Parent organization

LIMA COMMUNITY DENTAL-RISOLVATO,INC.As reported in NPPES

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

Authorized official

Name

Dr. Erik J Risolvato, DDS

Title

Owner

Phone

(419) 228-4036

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1952551244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051749",
            "telephone_number": "419-228-4036",
            "fax_number": "419-228-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051749",
            "telephone_number": "419-228-4036",
            "fax_number": "419-228-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMA COMMUNITY DENTAL-RISOLVATO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIMA COMMUNITY DENTAL-RISOLVATO,INC.",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "RISOLVATO",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-228-4036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30021809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lima City Schools
• Lima Convalescent Home Foundation Inc
• Lima Convalescent Home Foundation Incorporated
• Lima Dental Associates - Risolvato LTD
• Lima Ear Nose and Throat Specialists, LLC
• Lima Emergency Physicians Inc

• Dentist in Lima, OH
• Providers in Lima, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.