NORTHWEST OHIO DENTAL SPECILITY CENTER,LLC
NPI 1144757469
Dentist - Periodontics in Napoleon, OH

Active since May 17, 2017
610 BROADMOOR AVE, NAPOLEON, OH 43545(419) 592-5854(419) 930-6500 Get Directions Write a Review

NPPES record last updated: June 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2017, May 17, 2017 (2 updates tracked since 2017).

About Northwest Ohio Dental Specility Center,llc NPPES

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

NORTHWEST OHIO DENTAL SPECILITY CENTER,LLC (NPI 1144757469) is a healthcare organization registered as a periodontics in Napoleon, Ohio and active in the NPI registry since May 2017. The organization lists Stacy Lynn Freshour, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1144757469
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameNORTHWEST OHIO DENTAL SPECILITY CENTER,LLC
Location Address610 BROADMOOR AVENapoleon, OH 43545-1288
Mailing Address610 Broadmoor AveNapoleon, OH 43545-1288 · (419) 592-9956 · Fax (419) 930-6500
Fax(419) 930-6500
Organization SubpartNo
Authorized OfficialStacy Lynn FreshourPractice Administrator · (419) 592-9956
Enumeration DateMay 17, 2017
Last NPPES UpdateJune 12, 20172 updates tracked since enumeration
NPI 1144757469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in OH · 30022360
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
610 BROADMOOR AVE, Napoleon, OH 43545

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)
610 BROADMOOR AVE
NAPOLEON, OH 43545

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 Northwest Ohio Dental Specility Center,llc's NPI number?

The NPI number for Northwest Ohio Dental Specility Center,llc is 1144757469. It was assigned to this organization in the NPPES registry on May 17, 2017.

Where is Northwest Ohio Dental Specility Center,llc located?

Northwest Ohio Dental Specility Center,llc is located at 610 Broadmoor Ave, Napoleon, OH 43545. The listed phone number is (419) 592-5854.

What is Northwest Ohio Dental Specility Center,llc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Northwest Ohio Dental Specility Center,llc was last updated on June 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.