Ohio Kids Dental Hamilton - Roberts DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OHIO KIDS DENTAL HAMILTON - ROBERTS DMD LLC

Doing business as

Ohio Kids Dental - Hamilton

Practice address

2889 Joseph Dr Ste C
Fairfield Township, OH 45011-3854

Phone

(480) 866-8811

NPI assigned

Feb 11, 2025

Last updated

Aug 20, 2025By 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

Teresa Zwicky

Title

Credentialing Manager

Phone

(480) 866-8811

Specialties & licenses 1

Addresses

Other names 1

• Ohio Kids Dental - Hamilton Doing business as

Locations

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1992510507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2889 JOSEPH DR STE C",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450113854",
            "telephone_number": "480-866-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2889 JOSEPH DR STE C",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450113854",
            "telephone_number": "480-866-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO KIDS DENTAL HAMILTON - ROBERTS DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "ZWICKY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "480-866-8811"
    },
    "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": "Ohio Kids Dental - Hamilton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lillan L Noel
• Carson J Nolan
• Matthew William Novak, DPM
• Greg A O'Donnell, AT
• Amaka Rosemary Odonwodo, MD
• Malorie Nicole Snider Omasta, MD, LSW
• Henrietta Chiyenum Ossai
• Charles Henry Owens
• Jessica Lee Ann Owens, LPN
• Karrie Owens

• General Practice Dentistry in Fairfield Township, OH
• Providers in Fairfield Township, 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 20, 2025; 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.