ALPHA DENTAL NPI 1265740625

NPI Information

  • NPI: 1265740625
  • Provider Name: ALPHA DENTAL
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 12906 STATE ROUTE 664 S
    SUITE A7
    LOGAN, OH
    ZIP 43138
  • Phone: (567) 224-8745

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NPI Details

ALPHA DENTAL is an oral and maxillofacial surgery dentist in Logan, OH. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ALPHA DENTAL NPI is 1265740625. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12906 STATE ROUTE 664 S
SUITE A7
LOGAN, OH
ZIP 43138-260
Phone: (567) 224-8745

The provider's authorized official is Ming Sheng Yu .
The authorized official title is Owner and has the following contact phone number (567) 224-8754.

The enumeration date for this NPI number is 9/20/2010 and was last updated on 11/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19391631MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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