555 W ELM ST DENTISTRY LLC
NPI 1043351034
Dentist - General Practice in Lima, OH

Active since February 10, 2007
555 W ELM ST, LIMA, OH 45801(419) 229-0776(419) 229-3828 Get Directions Write a Review

NPPES record last updated: March 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 555 W Elm St Dentistry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

555 W ELM ST DENTISTRY LLC (NPI 1043351034) is a healthcare organization registered as a general practice in Lima, Ohio and active in the NPI registry since February 2007. The organization lists David Wayne Hancock, Owner, as its authorized official.

NPPES Registry Identity

NPI1043351034
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name555 W ELM ST DENTISTRY LLC
Location Address555 W ELM STLima, OH 45801-4757
Mailing Address555 W Elm StLima, OH 45801-4757 · (419) 229-0776 · Fax (419) 229-3828
Fax(419) 229-3828
Organization SubpartNo
Authorized OfficialDavid Wayne HancockOwner · (419) 229-0776
Enumeration DateFebruary 10, 2007
Last NPPES UpdateMarch 19, 2008
NPI 1043351034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OH · 30 . 20842
Definition
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.
555 W ELM ST, Lima, OH 45801

Other Identifiers 1

Medicaid2081376OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
555 W ELM ST
LIMA, OH 45801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 555 W Elm St Dentistry LLC's NPI number?

The NPI number for 555 W Elm St Dentistry LLC is 1043351034. It was assigned to this organization in the NPPES registry on February 10, 2007.

Where is 555 W Elm St Dentistry LLC located?

555 W Elm St Dentistry LLC is located at 555 W Elm St, Lima, OH 45801. The listed phone number is (419) 229-0776.

What is 555 W Elm St Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for 555 W Elm St Dentistry LLC was last updated on March 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.