DR. JOHN HERBERT GERSTENMAIER DDS NPI 1669454302

NPI Information

NPI: 1669454302
Provider Name: DR. JOHN HERBERT GERSTENMAIER, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
3094 W MARKET ST
#260
FAIRLAWN, OH
ZIP 44333
Phone: (330) 867-5688
Get Directions

DR. John Herbert Gerstenmaier, DDS is a pediatric dentistry dentist in Fairlawn, OH. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. John Herbert Gerstenmaier, DDS NPI is 1669454302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3094 W MARKET ST
#260
FAIRLAWN, OH
ZIP 44333-626
Phone: (330) 867-5688
Fax: (330) 867-9921

The enumeration date for this NPI number is 11/17/2005 and was last updated on 7/8/2007.

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
1	1223P0221X	Dentist	Pediatric Dentistry	2901010057	MICHIGAN	No
2	1223P0221X	Dentist	Pediatric Dentistry	30014537	OHIO	Yes

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
1	0273814	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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