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MADISON DENTAL ASSOCIATES NPI 1851551147


NPI Information

NPI: 1851551147
Provider Name: MADISON DENTAL ASSOCIATES
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6248 N RIDGE RD
MADISON, OH
ZIP 44057
Phone: (440) 428-1101
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MADISON DENTAL ASSOCIATES is a general practice dentist in Madison, 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. MADISON DENTAL ASSOCIATES NPI is 1851551147. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6248 N RIDGE RD
MADISON, OH
ZIP 44057-567
Phone: (440) 428-1101
Fax: (440) 428-6985

The provider's authorized official is Gerald Daniel Zgodinski .
The authorized official title is President/owner and has the following contact phone number (440) 428-1101.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 6/11/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice30018002OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10753788MEDICAIDOHIO

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

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