COLUMBUS GROVE FAMILY DENTISTRY
NPI 1184897829
Dentist - General Practice in Columbus Grove, OH
- Organization
- Dentist
- General Practice
- CLIA Number: 36D2329438
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 08-27-2027
About COLUMBUS GROVE FAMILY DENTISTRY
This page provides the complete NPI Profile along with additional information for Columbus Grove Family Dentistry, a provider established in Columbus Grove, Ohio operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1184897829 assigned on April 2008. The practitioner's primary taxonomy code is 1223G0001X with license number 30-02-0534 (OH). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Earl Recker (Owner)
- NPI
- 1184897829 Verify this NPI
- Provider Name
- COLUMBUS GROVE FAMILY DENTISTRY
- Entity Type
- Organization
- Location Address
- 109 N HIGH ST COLUMBUS GROVE, OH 45830
- Location Phone
- (419) 659-6000
- Location Fax
- (419) 659-6004
- Mailing Address
- 109 N HIGH ST COLUMBUS GROVE, OH 45830
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-02-2008
- Last Update Date
- 04-02-2008
- Code Navigator
A dentist like Columbus Grove Family Dentistry is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 30-02-0534
- License State
- OH
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2329438
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- August 28, 2025
- Certificate Expiration Date
- August 27, 2027
- Laboratory Director
- KATIE L. ZIMMERLY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Columbus Grove Family Dentistry to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184897829, enumerated as an "organization" on April 02, 2008.
The provider is located at 109 N HIGH ST COLUMBUS GROVE, OH 45830 and the phone number is (419) 659-6000.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
