MERCY DENTAL SERVICES NPI 1700053576

NPI Information

  • NPI: 1700053576
  • Provider Name: MERCY DENTAL SERVICES
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Other Name: MERCY DENTAL SERVICES
  • Address: 1320 MERCY DR NW
    2ND FLOOR - SURGERY CENTER
    CANTON, OH
    ZIP 44708
  • Phone: (330) 489-1000

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NPI Details

MERCY DENTAL SERVICES is a general practice dentist in Canton, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MERCY DENTAL SERVICES NPI is 1700053576. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mercy Dental Services.

The provider's business location address is:

1320 MERCY DR NW
2ND FLOOR - SURGERY CENTER
CANTON, OH
ZIP 44708-614
Phone: (330) 489-1000
Fax: (330) 471-5947

The provider's authorized official is Michael C Holt .
The authorized official title is Director Of Finance and has the following contact phone number (330) 489-1268.

The enumeration date for this NPI number is 5/12/2008 and was last updated on 7/8/2024.

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
11223G0001XDentistGeneral PracticeYes

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
12690039MEDICAIDOHIO

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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