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Organization Active NPI

Buckeye Dental Group of Bach Lamielle and Stanich DDS LLC

  • General Practice Dentistry
  • Massillon, OH
National Provider Identifier
1992703953
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BUCKEYE DENTAL GROUP OF BACH LAMIELLE AND STANICH DDS LLC
Practice address
7265 Portage St NW
Suite a
Massillon, OH 44646-7826
Phone
(330) 498-9730
Fax
(330) 498-9753
NPI assigned
Jul 13, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Angela Marie Lamielle
Title
Office Manager
Phone
(330) 498-9730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X OH Primary

Addresses

Primary practice location

7265 Portage St NW
Suite a
Massillon, OH 44646-7826

Mailing address

7265 Portage St NW
Suite a
Massillon, OH 44646-7826
Phone (330) 498-9730

Other identifiers 1

IdentifierTypeStateIssuer
2315140MedicaidOH

National Provider Directory

National Provider Directory

Locations

7265 Portage St NW
Unit A
Massillon, OH 44646
Phone (330) 498-9730

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992703953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7265 PORTAGE ST NW",
            "address_2": "SUITE A",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446467826",
            "telephone_number": "330-498-9730",
            "fax_number": "330-498-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7265 PORTAGE ST NW",
            "address_2": "SUITE A",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446467826",
            "telephone_number": "330-498-9730",
            "fax_number": "330-498-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE DENTAL GROUP OF BACH LAMIELLE AND STANICH DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LAMIELLE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-498-9730",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2315140",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.