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OHIO STREET FAMILY DENTAL GROUP, LLC
NPI 1083108435
Dentist - General Practice in Elyria, OH

Active since June 19, 2018

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ohio Street Family Dental Group, Llc NPPES

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

OHIO STREET FAMILY DENTAL GROUP, LLC (NPI 1083108435) is a healthcare organization registered as a general practice in Elyria, Ohio and active in the NPI registry since June 2018. The organization lists Sheona Kimmel, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083108435
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOHIO STREET FAMILY DENTAL GROUP, LLC
Location Address406 OHIO STElyria, OH 44035-3925
Mailing Address5201 N Abbe RdSheffield Village, OH 44035-1451 · (440) 937-8878
Phone(440) 937-8878
Organization SubpartNo
Authorized OfficialSheona KimmelOffice Manager · (440) 937-8878
Enumeration DateJune 19, 2018
✔ NPI 1083108435 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 · 30.020075
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.
406 OHIO ST, Elyria, OH 44035
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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.

DR. SCOTT P. NAGY DDS
Dentist
406 OHIO ST
ELYRIA, OH 44035
Lorain County (440) 322-3838

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 Ohio Street Family Dental Group, LLC's NPI number?

The NPI number for Ohio Street Family Dental Group, LLC is 1083108435. It was assigned to this organization in the NPPES registry on June 19, 2018.

Where is Ohio Street Family Dental Group, LLC located?

Ohio Street Family Dental Group, LLC is located at 406 Ohio St, Elyria, OH 44035. The listed phone number is (440) 937-8878.

What is Ohio Street Family Dental Group, 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 Ohio Street Family Dental Group, LLC was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.