Organization Active NPI

Avon Family Dentistry

  • General Practice Dentistry
  • Avon, OH
National Provider Identifier
1972744191
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Mar 24, 2009

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.NPI 1215178678
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.