Active NPI
Avon Family Dentistry
- General Practice Dentistry
- Avon, OH
National Provider Identifier
1972744191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- AVON FAMILY DENTISTRY
- Practice address
- 36900 Detroit Road
Avon, OH 44011 - Phone
- (888) 276-4530
- Fax
- (330) 483-6141
- NPI assigned
- Mar 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Geoffrey Louis Stefko, D.D.S.
- Title
- Member
- Phone
- (888) 276-4530
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
36900 Detroit Road
Avon, OH 44011
Mailing address
P.O. Box 429
Avon, OH 44011
Phone (888) 276-4530
Other names 1
- Buckeye Dental and Braces
National Provider Directory
National Provider DirectoryLocations
36900 Detroit Rd
Avon, OH 44011
Phone (440) 934-3333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Avon, OH
- NPI 1215178678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237852800000",
"number": "1972744191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 429",
"city": "AVON",
"state": "OH",
"postal_code": "44011",
"telephone_number": "888-276-4530",
"fax_number": "330-483-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36900 DETROIT ROAD",
"city": "AVON",
"state": "OH",
"postal_code": "44011",
"telephone_number": "888-276-4530",
"fax_number": "330-483-6141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVON FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-18",
"last_updated": "2009-03-24",
"status": "A",
"authorized_official_last_name": "STEFKO",
"authorized_official_first_name": "GEOFFREY",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "888-276-4530",
"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": [
{
"organization_name": "Buckeye Dental and Braces",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.